Individual provider Active NPI

Yumirva Josefina Balbas, APRN

  • Primary Care Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1992440580
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11018240 Issued in FL
Practice address
1720 Harrison St # 18D
Hollywood, FL 33020-6829
Phone
(786) 296-7519
NPI assigned
Apr 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11018240 FL Primary

Addresses

Primary practice location

1720 Harrison St # 18D
Hollywood, FL 33020-6829

Mailing address

20860 San Simeon Way Apt 206
Miami, FL 33179-1809
Phone (786) 296-7519

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11018240FLMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1992440580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20860 SAN SIMEON WAY APT 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331791809",
            "telephone_number": "786-296-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 HARRISON ST # 18D",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206829",
            "telephone_number": "786-296-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBAS",
        "first_name": "YUMIRVA",
        "middle_name": "JOSEFINA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11018240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.