Individual provider Active NPI

Yvonne Denise Saddler-Smith, LPN

  • Licensed Practical Nurse
  • Orlando, FL
National Provider Identifier
1497478432
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5178544 Issued in FL
Practice address
730 Courtland St
Orlando, FL 32804-1316
Phone
(407) 506-6767
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5178544 FL Primary

Addresses

Primary practice location

730 Courtland St
Orlando, FL 32804-1316

Mailing address

PO Box 784916
Winter Garden, FL 34778-4916
Phone (407) 506-6767

Other identifiers 1

IdentifierTypeStateIssuer
1497478432MedicaidFL

Other names 1

  • Yvonne Denise Saddler-Smith Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL infinitymedical71@gmail.com Direct

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

State licenses

LicenseStateTypeSpecialty
PN5178544FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1497478432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784916",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347784916",
            "telephone_number": "407-506-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 COURTLAND ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041316",
            "telephone_number": "407-506-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADDLER-SMITH",
        "first_name": "YVONNE",
        "middle_name": "DENISE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5178544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497478432",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "infinitymedical71@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "730 Courtland St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328041316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "SADDLER-SMITH",
            "middle_name": "DENISE",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.