Active NPI
Yvette Denise Donaldson, CRNP
- Nurse Practitioner
- Santa Rosa Beach, FL
National Provider Identifier
1649255662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3328422
- Practice address
- 4821 US Highway 98 W Ste 104
Santa Rosa Beach, FL 32459-8575 - Phone
- (850) 622-2055
- Fax
- (850) 622-2053
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3328422 | FL | Primary |
Addresses
Primary practice location
4821 US Highway 98 W Ste 104
Santa Rosa Beach, FL 32459-8575
Mailing address
4821 US Highway 98 W Ste 104
Santa Rosa Beach, FL 32459-8575
Phone (850) 622-2055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051555443 | Medicaid | AL | |
| 306135300 | Medicaid | FL |
Other names 1
- Yvette McLaughlin Donaldson
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3328422 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483315200000",
"number": "1649255662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4821 US HIGHWAY 98 W STE 104",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324598575",
"telephone_number": "850-622-2055",
"fax_number": "850-622-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4821 US HIGHWAY 98 W STE 104",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324598575",
"telephone_number": "850-622-2055",
"fax_number": "850-622-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "YVETTE",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2017-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "3328422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051555443",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306135300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YVETTE",
"last_name": "DONALDSON",
"middle_name": "MCLAUGHLIN",
"credential": "ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.