Individual provider Active NPI

Yakelin Saldana Ferino

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1750165064
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11028043 Issued in FL
Practice address
15980 SW 136TH Way
Miami, FL 33196-1822
Phone
(178) 636-9960
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11028043 FL Primary

Addresses

Primary practice location

15980 SW 136TH Way
Miami, FL 33196-1822

Mailing address

15980 SW 136TH Way
Miami, FL 33196-1822
Phone (178) 636-9960

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
I20240628000032 FL Practitioner - Nurse Practitioner 8426592684 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Ageless Center LLC CurrentSince Jun 8, 2024 Accepting new patients

Locations

555 W Granada Blvd
Ste E2
Ormond Beach, FL 32174
Phone (386) 235-6136

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1750165064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15980 SW 136TH WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961822",
            "telephone_number": "178-636-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15980 SW 136TH WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961822",
            "telephone_number": "178-636-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDANA FERINO",
        "first_name": "YAKELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11028043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.