Active NPI
Yisel Neyra Fajardo, NP
- Family Nurse Practitioner
- Homestead, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11011404
- Practice address
- 15300 SW 288TH St
Homestead, FL 33033-1355 - Phone
- (305) 224-6402
- Fax
- (305) 628-8345
- NPI assigned
- Jul 15, 2021
- Last updated
- May 8, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11011404 | FL | Primary |
Addresses
Primary practice location
15300 SW 288TH St
Homestead, FL 33033-1355
Mailing address
8751 SW 38TH St
Miami, FL 33165-5457
Phone (502) 810-4249
Other practice location 1
10300 SW 216th St
Cutler Bay, FL 33190-1003
Phone (305) 253-5100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19033 SW 133Rd Ave
Miami, FL 33177-6271
6950 SE 88TH St
Ocala, FL 34472-3495
8751 SW 38TH St
Miami, FL 33165-5457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeway Programs Inc | Current | Accepting new patients |
Locations
15300 SW 288th St
Homestead, FL 33033
Phone (305) 224-6402
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Homestead, FL
- NPI 1467096750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1679145932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8751 SW 38TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331655457",
"telephone_number": "502-810-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15300 SW 288TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330331355",
"telephone_number": "305-224-6402",
"fax_number": "305-628-8345"
}
],
"practiceLocations": [
{
"address_1": "10300 SW 216th St",
"address_purpose": "LOCATION",
"city": "Cutler Bay",
"state": "FL",
"postal_code": "331901003",
"country_code": "US",
"telephone_number": "305-253-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAJARDO",
"first_name": "YISEL",
"middle_name": "NEYRA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-15",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11011404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
- Leishka Fabregas Lamberty
- Guyen Fabregas Mantilla
- Linda Chiapetta Fagan, ARNP
- Juan Carlos Fagundo Perez
- Faith Church of the Redlands Inc Dba Pivot Point (Pivot Point)
- Adonis Fallat-Vazquez
- Grace Falzarano, RBT
- Family & Cosmetic Dentistry (Gomara DMD& Salcines DMD PA)
- Family Behavior Therapy, LLC
- Family Behavioral Services LLC (Advance Health and Community Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.