Individual provider Active NPI

Yolanda Kimble, APRN, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1982147203
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9298681 Issued in FL
Practice address
880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Nov 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 32234 SC
Nurse Practitioner 363L00000X C-APN.0106597-C-NP CO
Nurse Practitioner 363L00000X 5024542 NC
Nurse Practitioner 363L00000X 3-002996 AL
Primary Care Nurse Practitioner 363LP2300X ARNP9298681 FL Primary
Nurse Practitioner 363L00000X 246876 LA
Nurse Practitioner 363L00000X 228850 OK
Adult Health Nurse Practitioner 363LA2200X ARNP9298681 FL
Gerontology Nurse Practitioner 363LG0600X ARNP9298681 FL
Nurse Practitioner 363L00000X APRN9298681 FL
Nurse Practitioner 363L00000X 1236369 TX
Gerontology Nurse Practitioner 363LG0600X 908616 MS
Nurse Practitioner 363L00000X 42138 TN

Addresses

Primary practice location

880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

2062 Normandy Heights Dr
Winter Haven, FL 33880-5367
Phone (863) 412-7872

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
I20191107002762 FL Practitioner - Nurse Practitioner 8123371028 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-002996ALMDNurse Practitioner
C-APN.0106597-C-NPCOMDNurse Practitioner
APRN9298681FLMDNurse Practitioner
246876LAMDNurse Practitioner
5024542NCMDNurse Practitioner
228850OKMDNurse Practitioner
1236369TXMDNurse Practitioner
ARNP9298681FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Accountable Care, PA Gerontology CurrentSince Jul 31, 2024 Accepting new patients
Longevity Clinical LTC Associates of Florida PLLC Gerontology CurrentSince Sep 13, 2021 Accepting new patients
Baycare Physician Partners, LLC Current Accepting new patients
Longevity Accountable Care, PA Gerontology CurrentSince Jul 31, 2024 Accepting new patients
Devoted Medical Group Professional Corporation PastSince Jun 10, 2022 Accepting new patients

Locations

401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600

3110 Oakbridge Blvd E
Lakeland, FL 33803
Phone (863) 619-2102

4300 Rock Island Rd
Lauderhill, FL 33319
Phone (954) 309-1126

1404 NW 22nd St
Miami, FL 33142
Phone (305) 325-1050

800 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-1550

11770 US Highway 1
Ste 102E
Palm Beach Gardens, FL 33408
Phone 56181524270

8720 Jackson Springs Rd
Tampa, FL 33615
Phone (813) 341-5600

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

2970 Scarlet Rd
Winter Park, FL 32792
Phone (350) 250-2435

Organizations & group practices 5

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": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1982147203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SW 145TH AVE STE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276171",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2062 Normandy Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338805367",
            "country_code": "US",
            "telephone_number": "863-412-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "YOLANDA",
        "credential": "APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "32234",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0106597-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024542",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "3-002996",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9298681",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "246876",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "228850",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9298681",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9298681",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9298681",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1236369",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "908616",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "42138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.