Individual provider Active NPI

Yanet Garcia

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1487216222
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002735 Issued in FL
Practice address
10923 SW 153Rd CT
Miami, FL 33196-2766
Phone
(305) 305-1002
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 11002735 FL Primary

Addresses

Primary practice location

10923 SW 153Rd CT
Miami, FL 33196-2766

Mailing address

10923 SW 153Rd CT
Miami, FL 33196-2766
Phone (305) 305-1002

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
I20191220001335 FL Practitioner - Nurse Practitioner 6800220088 Reassigns benefits to 1 organization
Practice locations: Homestead, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11002735FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BKB Med LLC CurrentSince Sep 6, 2022 Accepting new patients

Locations

13814 SW 152nd St
Miami, FL 33177
Phone (305) 238-2262

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1487216222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10923 SW 153RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962766",
            "telephone_number": "305-305-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10923 SW 153RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962766",
            "telephone_number": "305-305-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "YANET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.