Bisona Yeba Bennett, DNP, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11013652 Issued in FL

Practice address

305 Kingsley Lake Dr Ste 703
St Augustine, FL 32092-3045

Phone

(904) 800-4003

Fax

(904) 800-5003

NPI assigned

Aug 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Bisona Yeba Titalanga Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10780/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Experts of Texas, P.a.

  • Hospitalist Physician
  • Lewisville, TX
  • NPI 1730395989

  TX

  Medicare reassignment NPD
• Vista Wellness, LLC

  • Nurse Practitioner
  • St Augustine, FL
  • NPI 1346121951
  NPD Authorized official
• Total Health and Wellness, PLLC

  • Family Nurse Practitioner
  • Elizabethtown, KY
  • NPI 1104471747

  Family

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1689083750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 KINGSLEY LAKE DR STE 703",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923045",
            "telephone_number": "904-800-4003",
            "fax_number": "904-800-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 KINGSLEY LAKE DR STE 703",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923045",
            "telephone_number": "904-800-4003",
            "fax_number": "904-800-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BISONA",
        "middle_name": "YEBA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11013652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BISONA",
            "last_name": "TITALANGA",
            "middle_name": "YEBA",
            "prefix": "DR.",
            "credential": "DNP, APRN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gillian Belloni
• Daniel Belotserkovsky, DDS
• Beltone Northern Florida
• John David Bendt, OPA-C
• Shadisha K Bennett Brodde, LPC
• Cole Reilly Bennett
• Mavis Bennett, PSYCHOLOGIST
• Nancy Frances Bent, ED.D.
• Diana Carol Beranek
• Mary Geary Berdellans, PHARMD

• Nurse Practitioner in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.