Active NPI
Idalina Brasil Yoakum, MSN CPNP
- Pediatric Nurse Practitioner
- Arlington, TX
National Provider Identifier
1447220595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 636556
- Practice address
- 950 N Davis Dr
Suite 4
Arlington, TX 76012-3247 - Phone
- (817) 460-0104
- Fax
- (817) 860-2184
- NPI assigned
- Jan 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 636556 | TX | Primary |
Addresses
Primary practice location
950 N Davis Dr
Suite 4
Arlington, TX 76012-3247
Mailing address
2201 Saint Claire Dr
Arlington, TX 76012-2260
Phone (817) 797-9920
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
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 636556 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Physicians PA | Past | Accepting new patients | |
| Arlington Physicians, P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Arlington, TX
- NPI 1265403190
-
- Pediatrics Physician
- Arlington, TX
- NPI 1770797532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1447220595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 SAINT CLAIRE DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122260",
"telephone_number": "817-797-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N DAVIS DR",
"address_2": "SUITE 4",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760123247",
"telephone_number": "817-460-0104",
"fax_number": "817-860-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOAKUM",
"first_name": "IDALINA",
"middle_name": "BRASIL",
"name_prefix": "Ms.",
"credential": "MSN CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "636556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.