Individual provider Active NPI

Yanet Tejeda Garcia, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1851136220
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033684 Issued in FL
Practice address
15431 SW 101St Ave
Miami, FL 33157-1622
Phone
(786) 291-4870
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11033684 FL Primary

Addresses

Primary practice location

15431 SW 101St Ave
Miami, FL 33157-1622

Mailing address

15431 SW 101St Ave
Miami, FL 33157-1622
Phone (786) 291-4870

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
I20240910003961 FL Practitioner - Nurse Practitioner 1254871882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1620 Helvenston St SE
Live Oak, FL 32064-3474
Phone (386) 362-7860

1626 Davis Rd
West Palm Beach, FL 33406-5640
Phone (561) 439-8897

1859 Van Buren St
Hollywood, FL 33020-5127
Phone (954) 920-9000

375 NW 51 St
Boca Raton, FL 33431-4773
Phone (561) 997-8111

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200

4405 Lakewood Rd
Lake Worth, FL 33461-3414
Phone (561) 969-1400

5245 N Socrum Loop Rd
Lakeland, FL 33809-4253
Phone (863) 859-1446

701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11033684FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC Single Specialty CurrentSince Jul 6, 2024 Accepting new patients
Intensive Care Experts Health Network LLC Single Specialty CurrentSince Jul 6, 2024 Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

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": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1851136220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15431 SW 101ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571622",
            "telephone_number": "786-291-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15431 SW 101ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571622",
            "telephone_number": "786-291-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJEDA GARCIA",
        "first_name": "YANET",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.