Yanet Carballosa, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F07221201 Issued in FL

Practice address

3601 Lakewood Blvd
Naples, FL 34112-6145

Phone

(419) 252-6031

Fax

(800) 564-5952

NPI assigned

Aug 26, 2022

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Health and Wellness CenterGroup PAC ID 1557884020, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Health and Wellness Center

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1831904499

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Regional Healthcare Group LLC

  • Acute Care Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1407587363

  FL, Single Specialty

  Medicare reassignment NPD
• Renew Wound Care of Florida LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1811631591
  Medicare reassignment
• Guardian Biologics LLC

  • Specialist
  • Mount Juliet, TN
  • NPI 1033890876

  Single Specialty

  NPD

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1932828308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RESERVE WAY APT 108",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341053820",
            "telephone_number": "786-879-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 LAKEWOOD BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126145",
            "telephone_number": "419-252-6031",
            "fax_number": "800-564-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLOSA",
        "first_name": "YANET",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F07221201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathleen Rosalie Caraballo Shanks, O.D.
• Thomas George Caranasos, M.D.
• Grethell L Carballido Cabrera
• Daphne Carballo, PA-C
• Valerie F. Carballosa, APRN
• Judy Carbone
• Karina Pamela Carcamo, MSOT, OTR/L
• Jesus Cardenas Alvarez, ARNP
• Yely Cardenas Araujo
• Libmary Cardenas Gonzalez

• Family Nurse Practitioner in Naples, FL
• Providers in Naples, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.