Individual provider Active NPI

Yudaisy Salgueiro, ARNP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1962003004
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11009596 Issued in FL
Practice address
307 NW 72ND Ave Apt 319
Miami, FL 33126-4304
Phone
(305) 859-5181
NPI assigned
Nov 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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 11009596 FL Primary

Addresses

Primary practice location

307 NW 72ND Ave Apt 319
Miami, FL 33126-4304

Mailing address

307 NW 72ND Ave Apt 319
Miami, FL 33126-4304
Phone (305) 859-5181

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MIAMI

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
I20241029002139 FL Practitioner - Nurse Practitioner 3779016712

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009596FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1962003004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 NW 72ND AVE APT 319",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264304",
            "telephone_number": "305-859-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 NW 72ND AVE APT 319",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264304",
            "telephone_number": "305-859-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGUEIRO",
        "first_name": "YUDAISY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11009596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MIAMI",
            "affiliation": "N",
            "address_1": "307 NW 72nd Ave Apt 319",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331264304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.