YISEL NEYRA FAJARDO NP NPI 1679145932

NPI Information

  • NPI: 1679145932
  • Provider Name: YISEL NEYRA FAJARDO, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15300 SW 288TH ST
    HOMESTEAD, FL
    ZIP 33033
  • Phone: (305) 224-6402

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NPI Details

Yisel Neyra Fajardo, NP is a family nurse practitioner in Homestead, FL with 6 years of experience. Yisel Neyra Fajardo, NP NPI is 1679145932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15300 SW 288TH ST
HOMESTEAD, FL
ZIP 33033-355
Phone: (305) 224-6402
Fax: (305) 628-8345

The NPI 1679145932 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 7/15/2021 and was last updated on 5/8/2025.

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
1363LF0000XNurse PractitionerFamilyAPRN11011404FLORIDAYes

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: 11/21/2025

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