Individual provider Active NPI

Yanay Machado Quesada, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1912540337
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11027395 Issued in FL
Practice address
12002 SW 128TH CT Ste 202
Miami, FL 33186-4643
Phone
(786) 362-6114
Fax
(786) 362-6172
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 APRN11027395 FL Primary

Addresses

Primary practice location

12002 SW 128TH CT Ste 202
Miami, FL 33186-4643

Mailing address

162 Jasmine Cir
Naples, FL 34102-5845
Phone (786) 337-0643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11027395FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coral Diagnostic Center Inc CurrentSince Jul 16, 2023 Accepting new patients

Locations

12002 SW 128th Ct
Ste 202
Miami, FL 33186
Phone (786) 362-6114

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1912540337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 JASMINE CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025845",
            "telephone_number": "786-337-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864643",
            "telephone_number": "786-362-6114",
            "fax_number": "786-362-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO QUESADA",
        "first_name": "YANAY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11027395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.