Active NPI
Vip Family Practice LLC
- Family Medicine Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ACN235
- Legal business name
- VIP FAMILY PRACTICE LLC
- Practice address
- 401 W Oak St
Kissimmee, FL 34741-4931 - Phone
- (407) 730-9911
- Fax
- (407) 730-3545
- NPI assigned
- Oct 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank John Yanez, MD
- Title
- Medical Director/Owner
- Phone
- (407) 674-2044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ACN235 | FL | Primary |
Addresses
Primary practice location
401 W Oak St
Kissimmee, FL 34741-4931
Mailing address
401 W Oak St
Kissimmee, FL 34741-4931
Phone (407) 674-2044
Other practice location 1
1192 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (407) 674-2044
Other practice location 2
405 W Oak St
Kissimmee, FL 34741-4931
Phone (407) 674-2044
Other practice location 3
483 N Semoran Blvd Ste 210
Winter Park, FL 32792-3800
Phone (407) 674-2044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000864700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2051061 | Vip Family Practice | Certificate of waiver | Dec 11, 2026 |
| 10D2255698 | Vip Family Practice | Certificate of waiver | Mar 15, 2028 |
| 10D2264613 | Vip Family Practice | Certificate of waiver | Jul 17, 2026 |
| 10D2264619 | Vip Family Practice | Certificate of waiver | Jul 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
401 W Oak St
Kissimmee, FL 34741
Phone (407) 674-2044
405 W Oak St
Kissimmee, FL 34741
Phone (407) 674-2044
401 W Oak St
#403
Kissimmee, FL 34741
483 N Semoran Blvd
Ste 210
Winter Park, FL 32792
Phone (407) 674-2044
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AEBFCA
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Kissimmee, FL
- NPI 1578780524
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1083404602
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1134747470
-
- General Practice Physician
- Kissimmee, FL
- NPI 1215314737
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1740152099
-
- Family Nurse Practitioner
- Davenport, FL
- NPI 1154923290
-
- Nurse Practitioner
- Kissimmee, FL
- NPI 1174337802
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1477142719
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1801516844
-
- Nurse Practitioner
- Lauderdale Lakes, FL
- NPI 1851026082
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1255973434
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1821466616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676073600000",
"number": "1669725552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414931",
"telephone_number": "407-674-2044",
"fax_number": "407-674-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414931",
"telephone_number": "407-730-9911",
"fax_number": "407-730-3545"
}
],
"practiceLocations": [
{
"address_1": "1192 Cypress Glen Cir",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347417560",
"country_code": "US",
"telephone_number": "407-674-2044",
"fax_number": "407-674-2049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Oak St",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347414931",
"country_code": "US",
"telephone_number": "407-674-2044",
"fax_number": "407-674-2049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "483 N Semoran Blvd Ste 210",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327923800",
"country_code": "US",
"telephone_number": "407-674-2044",
"fax_number": "407-674-2049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VIP FAMILY PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-17",
"last_updated": "2023-02-11",
"certification_date": "2023-02-11",
"status": "A",
"authorized_official_last_name": "YANEZ",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
"authorized_official_telephone_number": "407-674-2044",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ACN235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000864700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.