Individual provider Active NPI

Yamilka Poujaud Rodriguez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1851935308
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004853 Issued in FL
Practice address
14201 SW 120TH St Ste 205
Miami, FL 33186-7663
Phone
(305) 479-7815
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11004853 FL Primary

Addresses

Primary practice location

14201 SW 120TH St Ste 205
Miami, FL 33186-7663

Mailing address

15212 SW 175TH St
Miami, FL 33187-1830
Phone (305) 479-7815

Other practice location 1

7800 SW 87th Ave Ste 210B
Miami, FL 33173-2537
Phone (305) 509-6868

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
I20210329001727 FL Practitioner - Nurse Practitioner 1850708306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004853FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Medical Centers Inc CurrentSince Mar 10, 2021 Accepting new patients
Miracle Angels Med Current Accepting new patients

Locations

7800 SW 87th Ave
Ste B210
Miami, FL 33173
Phone (305) 509-6868

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851935308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15212 SW 175TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871830",
            "telephone_number": "305-479-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 SW 120TH ST STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867663",
            "telephone_number": "305-479-7815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 SW 87th Ave Ste 210B",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331732537",
            "country_code": "US",
            "telephone_number": "305-509-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POUJAUD RODRIGUEZ",
        "first_name": "YAMILKA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.