Individual provider Active NPI

Yul Marietta Lopez, FNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1467938282
Registry record updated Jul 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9192556 Issued in FL
Practice address
6161 Blue Lagoon Dr
Miami, FL 33126-2057
Phone
(786) 273-8466
NPI assigned
Jul 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9192556 FL Primary

Addresses

Primary practice location

6161 Blue Lagoon Dr
Miami, FL 33126-2057

Mailing address

12781 SW 20TH St
Miami, FL 33175-1363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190529002946 FL Practitioner - Nurse Practitioner 3375886609 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9192556FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstone Primary Care Partners LLC CurrentSince Apr 13, 2019 Accepting new patients

Locations

1835 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 224-2191

3700 Washington St
Ste 404
Hollywood, FL 33021
Phone (954) 963-0888

12301 Taft St
Ste 100
Pembroke Pines, FL 33026
Phone (954) 495-4491

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJFCD

Organizations & group practices 1

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": "1531612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531612800000",
    "number": "1467938282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12781 SW 20TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 BLUE LAGOON DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262057",
            "telephone_number": "786-273-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "YUL",
        "middle_name": "MARIETTA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-15",
        "last_updated": "2018-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9192556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.