Individual provider Active NPI

Yusley Couceiro, APRN

  • Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1841785565
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9381489 Issued in FL
Practice address
5801 NW 151St St Ste 106
Miami Lakes, FL 33014-2437
Phone
(305) 640-8393
Fax
(305) 639-8314
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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 APRN9381489 FL Primary

Addresses

Primary practice location

5801 NW 151St St Ste 106
Miami Lakes, FL 33014-2437

Mailing address

5801 NW 151St St Ste 106
Miami Lakes, FL 33014-2437
Phone (305) 640-8393

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
I20210115000060 FL Practitioner - Nurse Practitioner 4789097684 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Health Medical Care Center Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

14505 Commerce Way
Ste 750
Miami Lakes, FL 33016
Phone (305) 362-9989

Organizations & group practices 2

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1841785565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 NW 151ST ST STE 106",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142437",
            "telephone_number": "305-640-8393",
            "fax_number": "305-639-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 NW 151ST ST STE 106",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142437",
            "telephone_number": "305-640-8393",
            "fax_number": "305-639-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCEIRO",
        "first_name": "YUSLEY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9381489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.