Individual provider Active NPI

Yarelis Amador Rosa

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1710628151
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017344 Issued in FL
Practice address
8720 N Kendall Dr Ste 211
Miami, FL 33176-2198
Phone
(305) 273-3007
Fax
(305) 273-3913
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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 11017344 FL Primary

Addresses

Primary practice location

8720 N Kendall Dr Ste 211
Miami, FL 33176-2198

Mailing address

9960 NW 116TH Way Ste 13
Medley, FL 33178-1175
Phone (561) 788-7545

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yarelis.amadorrosa@fcn.eclinicaldirectplus.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920002267 FL Practitioner - Nurse Practitioner 8224413737 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11017344FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: yarelis.amadorrosa@fcn.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1710628151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY STE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781175",
            "telephone_number": "561-788-7545",
            "fax_number": "561-556-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 N KENDALL DR STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762198",
            "telephone_number": "305-273-3007",
            "fax_number": "305-273-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADOR ROSA",
        "first_name": "YARELIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yarelis.amadorrosa@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8720 N Kendall Dr Ste 211",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.