Individual provider Active NPI

Yisleidy Navarro Vidal

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1831615780
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030558 Issued in FL
Practice address
10378 NW 127TH Ter
Hialeah, FL 33018-6009
Phone
(786) 616-3219
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Family Nurse Practitioner 363LF0000X 11030558 FL Primary

Addresses

Primary practice location

10378 NW 127TH Ter
Hialeah, FL 33018-6009

Mailing address

10378 NW 127TH Ter
Hialeah, FL 33018-6009
Phone (786) 616-3219

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
I20250501000494 FL Practitioner - Nurse Practitioner 8921524067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030558FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCDS Business Group LLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

8726 NW 26th St
Ste 17
Doral, FL 33172
Phone (786) 259-0585

1011 Sunnybrook Rd
Ste 903
Miami, FL 33136
Phone (786) 360-6315

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1831615780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10378 NW 127TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186009",
            "telephone_number": "786-616-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10378 NW 127TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186009",
            "telephone_number": "786-616-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO VIDAL",
        "first_name": "YISLEIDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.