Pamela Leann Yarrington, PA-C, MPAS
Individual provider Active NPI Physician Assistant · Lake Mary, FL
NPI 1821133935 · NPPES record last updated Sep 28, 2021
Key facts
- NPI
- 1821133935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2422 (FL)
- Practice address
- 725 Primera Blvd Ste 140
Lake Mary, FL 32746-2130 - Phone
- (407) 732-7266
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | PA2422 | FL | |
| Physician Assistant | 363A00000X | PAX940 | FL | |
| Physician Assistant | 363A00000X | PA2422 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288735 | Other | FL | AMERIGROUP |
| 290893000 | Medicaid | FL |
Other providers in Lake Mary, FL
- Kassidy Wynn
- Wynne Chiropractic Inc.
- Kevin G Wynne
- Daniel S Yachter
- Effie C Yao
- Amanda Jon McNally Yatabe
- Randall Glenn Yates
- Elizabeth Nicole Yaw
- Anson Yeow
- Daniel Yevseyevich
All providers in Lake Mary, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.