Active NPI
Pamela Leann Yarrington, PA-C, MPAS
- Physician Assistant
- Lake Mary, FL
National Provider Identifier
1821133935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2422
- Practice address
- 725 Primera Blvd Ste 140
Lake Mary, FL 32746-2130 - Phone
- (407) 732-7266
- NPI assigned
- Feb 20, 2007
- Last updated
- Sep 28, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | PA2422 | FL | |
| Physician Assistant | 363A00000X | PAX940 | FL | |
| Physician Assistant | 363A00000X | PA2422 | FL | Primary |
Addresses
Primary practice location
725 Primera Blvd Ste 140
Lake Mary, FL 32746-2130
Mailing address
8831 Pine Bay CT
Orlando, FL 32825-3712
Phone (407) 894-6980
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2422 | FL | MD | Physician Assistant |
| PAX940 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antonio Cubano, M.D., P.a. | Current | Accepting new patients |
Locations
725 Primera Blvd
Ste 140
Lake Mary, FL 32746
Phone (407) 732-3274
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.
-
- Child & Adolescent Psychiatry Physician
- Debary, FL
- NPI 1649644162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1821133935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8831 PINE BAY CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328253712",
"telephone_number": "407-894-6980",
"fax_number": "407-894-6982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 PRIMERA BLVD STE 140",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462130",
"telephone_number": "407-732-7266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARRINGTON",
"first_name": "PAMELA",
"middle_name": "LEANN",
"credential": "PA-C, MPAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "PA2422",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PAX940",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA2422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.