Individual provider Active NPI

Yaneisy Fumero, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1710414800
Registry record updated May 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9206370 Issued in FL
Practice address
2801 S Macdill Ave
Tampa, FL 33629-7223
Phone
(813) 871-6465
NPI assigned
May 19, 2017
Last updated
May 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9206370 FL Primary

Addresses

Primary practice location

2801 S Macdill Ave
Tampa, FL 33629-7223

Mailing address

3319 River Cove Dr
Tampa, FL 33614-2705
Phone (813) 368-9947

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9206370FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Everslim LLC Past Accepting new patients
Body Image Laser Institute Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495152000000",
    "number": "1710414800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 RIVER COVE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142705",
            "telephone_number": "813-368-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297223",
            "telephone_number": "813-871-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUMERO",
        "first_name": "YANEISY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2017-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9206370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.