Individual provider Active NPI

Idalina Brasil Yoakum, MSN CPNP

  • Pediatric Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1447220595
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
636556 Issued in TX
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

Updated by the provider on Jun 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
636556TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.