YULIER FLEITAS DOMINGUEZ PMHNP-BC FNP-BC NPI 1558837609

NPI Information

NPI: 1558837609
Provider Name: YULIER FLEITAS DOMINGUEZ, PMHNP-BC, FNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5707 N 22ND ST
TAMPA, FL
ZIP 33610
Phone: (813) 272-2244
Get Directions

Yulier Fleitas Dominguez, PMHNP-BC, FNP-BC is a psychiatric/mental health nurse practitioner in Tampa, FL with 5 years of experience. Yulier Fleitas Dominguez, PMHNP-BC, FNP-BC NPI is 1558837609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5707 N 22ND ST
TAMPA, FL
ZIP 33610-350
Phone: (813) 272-2244
Fax: (813) 272-3766

The NPI 1558837609 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2018 and was last updated on 2/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146L00000X	Emergency Medical Technician, Paramedic		PMD533870	FLORIDA	No
2	163WE0003X	Registered Nurse	Emergency	RN9293932	FLORIDA	No
3	251B00000X	Case Management		CBHCMS100925	FLORIDA	No
4	363LF0000X	Nurse Practitioner	Family	APRN11002545	FLORIDA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP142336	TEXAS	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN11002545	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	115730500	MEDICAID	FLORIDA
2	116987200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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