Individual provider Active NPI

Yisel Macola Vera

  • Administrator Registered Nurse
  • Jacksonville, FL
National Provider Identifier
1467378158
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN9704377 Issued in FL
Practice address
1134 Sunnymeade Dr
Jacksonville, FL 32211-6077
Phone
(904) 699-7798
NPI assigned
Jun 26, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC1500X RN9704377 FL
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X RN9704377 FL
General Practice Registered Nurse 163WG0000X RN9704377 FL
Gastroenterology Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WG0100X RN9704377 FL
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X RN9704377 FL
Hospice Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH1000X RN9704377 FL
Infection Control Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0600X RN9704377 FL
Rehabilitation Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0400X RN9704377 FL
Occupational Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WX0106X RN9704377 FL
Administrator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA2000X RN9704377 FL Primary

Addresses

Primary practice location

1134 Sunnymeade Dr
Jacksonville, FL 32211-6077

Mailing address

1134 Sunnymeade Dr
Jacksonville, FL 32211-6077

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1467378158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 SUNNYMEADE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322116077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 SUNNYMEADE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322116077",
            "telephone_number": "904-699-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACOLA VERA",
        "first_name": "YISEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9704377",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "FL",
            "license": "RN9704377",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9704377",
            "primary": false
        },
        {
            "code": "163WG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "FL",
            "license": "RN9704377",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9704377",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": "FL",
            "license": "RN9704377",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infection Control",
            "state": "FL",
            "license": "RN9704377",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "FL",
            "license": "RN9704377",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Occupational Health",
            "state": "FL",
            "license": "RN9704377",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN9704377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.