Individual provider Active NPI

Yvette Denise Donaldson, CRNP

  • Nurse Practitioner
  • Santa Rosa Beach, FL
National Provider Identifier
1649255662
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3328422 Issued in FL
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

Updated by the provider on Jan 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
051555443MedicaidAL
306135300MedicaidFL

Other names 1

  • Yvette McLaughlin Donaldson Other name

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

LicenseStateTypeSpecialty
3328422FLMDNurse 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.

Verify at the official NPI Registry.