Individual provider Active NPI

Yaneidy Isabel Carpenter, APRN

  • Adult Health Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1710717624
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11035476 Issued in FL
Practice address
380 Rinehart Rd
Lake Mary, FL 32746-2551
Phone
(321) 843-2100
Fax
(321) 842-3498
NPI assigned
Aug 5, 2024
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11035476 FL Primary
Family Nurse Practitioner 363LF0000X 11035476 FL

Addresses

Primary practice location

380 Rinehart Rd
Lake Mary, FL 32746-2551

Mailing address

380 Rinehart Rd
Lake Mary, FL 32746-2551
Phone (321) 843-2100

Other practice location 1

1400 S Orange Ave
Orlando, FL 32806-2134
Phone (321) 843-8010

Other identifiers 1

IdentifierTypeStateIssuer
124165000MedicaidFL

Other names 1

  • Yaneidy Escobar Garcia Former name

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
I20241004000436 FL Practitioner - Nurse Practitioner 4284165010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1400 S Orange Ave
Orlando, FL 32806-2134
Phone (321) 841-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11035476FLMDAdult Health Nurse Practitioner
11035476FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

1400 S Orange Ave
Orlando, FL 32806
Phone (321) 841-1893

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1710717624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 RINEHART RD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462551",
            "telephone_number": "321-843-2100",
            "fax_number": "321-842-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 RINEHART RD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462551",
            "telephone_number": "321-843-2100",
            "fax_number": "321-842-3498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062134",
            "country_code": "US",
            "telephone_number": "321-843-8010",
            "fax_number": "321-843-6330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "YANEIDY",
        "middle_name": "ISABEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11035476",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035476",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124165000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANEIDY",
            "last_name": "ESCOBAR GARCIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.