Yenisleydi Valdivia Villavicencio

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10340 Issued in AZ

Practice address

3201 W Peoria Ave Ste A202
Phoenix, AZ 85029-4602

Phone

(602) 863-1716

NPI assigned

Mar 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDAIAD

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.

• Elite ENT

  • Otolaryngology Physician
  • Phoenix, AZ
  • NPI 1457801300
  NPD (past)
• Maritza I. Irizarry MD Inc

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1548273113
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1881395044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE A202",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE A202",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294602",
            "telephone_number": "602-863-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIA VILLAVICENCIO",
        "first_name": "YENISLEYDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10340",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "TPPA543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole T Valdez, LCSW
• Ruben Valdez, M.D.
• Shea Dalise Valdez
• Sienna Vida Valdez
• Vanessa V Valdez
• Elia Valdivia, WHNP-BC
• Evangelina Valdivia
• Amanda Veronica Vale
• Valence Integrative Psychiatry PLLC
• Joseline Valencia Felix, LAC

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.