Individual provider Active NPI

Yailin Homen

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1609487792
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11008454 Issued in FL
Practice address
1801 NW 9TH Ave FL 5
Miami, FL 33136-1125
Phone
(305) 355-5006
Fax
(305) 355-5124
NPI assigned
Aug 12, 2020
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11008454 FL Primary
Acute Care Nurse Practitioner 363LA2100X 11008454 FL
Gerontology Nurse Practitioner 363LG0600X APRN11008454 FL

Addresses

Primary practice location

1801 NW 9TH Ave FL 5
Miami, FL 33136-1125

Mailing address

PO Box 281046
Atlanta, GA 30384-1046
Phone (305) 243-6618

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
I20210119001113 FL Practitioner - Nurse Practitioner 2769895481 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008454FLMDAcute Care Nurse Practitioner
APRN11008454FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E R Stat Inc CurrentSince Jul 1, 2021 Accepting new patients
University of Miami CurrentSince Apr 1, 2023 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Apr 1, 2023 Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

1801 NW 9th Ave
Fl 5
Miami, FL 33136
Phone (305) 355-5000

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: yhomen87563@direct.med.miami.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1609487792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281046",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841046",
            "telephone_number": "305-243-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW 9TH AVE FL 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361125",
            "telephone_number": "305-355-5006",
            "fax_number": "305-355-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMEN",
        "first_name": "YAILIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11008454",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11008454",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11008454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.