Individual provider Active NPI

Yadira Pagano

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1619461332
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9355597 Issued in FL
Practice address
7100 W 20TH Ave Ste 205
Hialeah, FL 33016-1812
Phone
(305) 824-3451
Fax
(305) 828-9492
NPI assigned
Jun 16, 2018
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9355597 FL Primary
Registered Nurse 163W00000X 9355597 FL

Addresses

Primary practice location

7100 W 20TH Ave Ste 205
Hialeah, FL 33016-1812

Mailing address

7100 W 20TH Ave Ste 205
Hialeah, FL 33016-1812
Phone (786) 379-2873

Other practice location 1

2140 W 68th St Ste 403
Hialeah, FL 33016
Phone (305) 817-1344

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
I20181221001075 FL Practitioner - Nurse Practitioner 7618212549 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9355597FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jul 16, 2018 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jul 16, 2018 Accepting new patients
Cardio MDM LLC Past Accepting new patients

Locations

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

2140 W 68th St
Ste 403
Hialeah, FL 33016
Phone (305) 688-6484

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

7100 W 20th Ave
Ste 205
Miami Lakes, FL 33016
Phone (305) 817-1344

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Interoperability endpoints

  • Direct secure messaging: yadira.pagano.1@1931.direct.athenahealth.com

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": "1529107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1619461332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161812",
            "telephone_number": "786-379-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161812",
            "telephone_number": "305-824-3451",
            "fax_number": "305-828-9492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 W 68th St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "33016",
            "country_code": "US",
            "telephone_number": "305-817-1344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "YADIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-16",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9355597",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9355597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.