Active NPI
Sophia Sheherezade Yasin, ARNP
- Family Nurse Practitioner
- Windermere, FL
National Provider Identifier
1750871216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9367908
- Practice address
- Windermere #1350
2831 Maguire Rd.
Windermere, FL 34786-6057 - Phone
- (407) 654-0568
- NPI assigned
- May 10, 2018
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9367908 | FL | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | APRN9367908 | FL |
Addresses
Primary practice location
Windermere #1350
2831 Maguire Rd.
Windermere, FL 34786-6057
Mailing address
Windermere #1350
2831 Maguire Rd.
Windermere, FL 34786-6057
Phone (407) 654-0568
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9367908 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Family Physicians, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1750871216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WINDERMERE #1350",
"address_2": "2831 MAGUIRE RD.",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866057",
"telephone_number": "407-654-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WINDERMERE #1350",
"address_2": "2831 MAGUIRE RD.",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866057",
"telephone_number": "407-654-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASIN",
"first_name": "SOPHIA",
"middle_name": "SHEHEREZADE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2023-03-07",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9367908",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN9367908",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.