Individual provider Active NPI

Yenisley Matos Chirino, APRN

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1730797952
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006662 Issued in FL
Practice address
14875 NW 77TH Ave Ste 100
Miami Lakes, FL 33014-2568
Phone
(305) 822-2380
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 11006662 FL Primary

Addresses

Primary practice location

14875 NW 77TH Ave Ste 100
Miami Lakes, FL 33014-2568

Mailing address

14578 SW 143Rd Ter
Miami, FL 33186-6774
Phone (786) 514-9150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006662FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Palliative Care Services, Inc. CurrentSince Jul 27, 2020 Accepting new patients
Catholic Hospice, Inc PastSince Jul 27, 2020 Accepting new patients

Locations

14875 NW 77th Ave
Ste 100
Miami Lakes, FL 33014
Phone (305) 351-7057

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": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1730797952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14578 SW 143RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866774",
            "telephone_number": "786-514-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14875 NW 77TH AVE STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142568",
            "telephone_number": "305-822-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS CHIRINO",
        "first_name": "YENISLEY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.