Active NPI
Yalitza Vargas-Feliciano
- Physician Assistant
- East Palatka, FL
National Provider Identifier
1417763400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PACN53
- Practice address
- 199 S US Highway 17 Ste a&B
East Palatka, FL 32131-6071 - Phone
- (386) 312-0250
- NPI assigned
- Dec 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1905-PA | PR | |
| Physician Assistant | 363A00000X | PACN53 | FL | Primary |
Addresses
Primary practice location
199 S US Highway 17 Ste a&B
East Palatka, FL 32131-6071
Mailing address
106 South Ave
Brockport, NY 14420-2012
Phone (787) 209-3384
Other practice location 1
126 Calle Pavia Fernandez
San Sebastian, PR 00685-2285
Phone (787) 280-1335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PACN53 | FL | MD | Physician Assistant |
| 1905-PA | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754092800000",
"number": "1417763400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 SOUTH AVE",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144202012",
"telephone_number": "787-209-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 S US HIGHWAY 17 STE A&B",
"city": "EAST PALATKA",
"state": "FL",
"postal_code": "321316071",
"telephone_number": "386-312-0250"
}
],
"practiceLocations": [
{
"address_1": "126 Calle Pavia Fernandez",
"address_purpose": "LOCATION",
"city": "San Sebastian",
"state": "PR",
"postal_code": "006852285",
"country_code": "US",
"telephone_number": "787-280-1335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGAS-FELICIANO",
"first_name": "YALITZA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-05",
"last_updated": "2025-08-02",
"certification_date": "2025-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "1905-PA",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PACN53",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.