Active NPI
Josephine Batista Yatco, M.D.
- Pediatrics Physician
- Jacksonville, FL
National Provider Identifier
1568467637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0089068
- Practice address
- 13453 N Main St Ste 503
Jacksonville, FL 32218-2774 - Phone
- (904) 491-0177
- Fax
- (904) 491-3173
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0089068 | FL | Primary |
Addresses
Primary practice location
13453 N Main St Ste 503
Jacksonville, FL 32218-2774
Mailing address
1463 Nectarine St
Fernandina Beach, FL 32034-3027
Phone (904) 491-0177
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271710700 | Medicaid | FL | |
| 0089068 | Other | FL | MEDICAL LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0089068 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Pediatrics,PA | Pediatrics | Past | Accepting new patients |
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": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1568467637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1463 NECTARINE ST",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320343027",
"telephone_number": "904-491-0177",
"fax_number": "904-491-3173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13453 N MAIN ST STE 503",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322182774",
"telephone_number": "904-491-0177",
"fax_number": "904-491-3173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATCO",
"first_name": "JOSEPHINE",
"middle_name": "BATISTA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0089068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271710700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "0089068",
"state": "FL"
}
],
"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 Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.