MRS. YUDAISY MOGENA PADRON CBHCMS NPI 1831800218

NPI Information

  • NPI: 1831800218
  • Provider Name: MRS. YUDAISY MOGENA PADRON, CBHCMS
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 1539 DALE MABRY HWY STE 102
    LUTZ, FL
    ZIP 33548
  • Phone: (813) 909-7102

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NPI Details

MRS. Yudaisy Mogena Padron, CBHCMS is a physician assistant in Lutz, FL. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MRS. Yudaisy Mogena Padron, CBHCMS NPI is 1831800218. 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:

1539 DALE MABRY HWY STE 102
LUTZ, FL
ZIP 33548-008
Phone: (813) 909-7102
Fax: (813) 909-0199

The enumeration date for this NPI number is 12/7/2022 and was last updated on 12/17/2024.

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
1171M00000XCase Manager/Care Coordinator0105383FLORIDANo
2363A00000XPhysician Assistant2295PAPUERTO RICONo
3363A00000XPhysician AssistantTPPA830FLORIDAYes

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
1CBHCM0105383OTHERFLORIDAFLORIDA CERTIFICATION BOARD
2116404300MEDICAIDFLORIDA
32295PAOTHERPUERTO RICOPUERTO RICO MEDICAL DISCIPLINE AND LICENSUREE BOARD
4TPPA830OTHERFLORIDAFLORIDA DEPARTMENT OF HEALTH
5CBHCMS0102580OTHERFLORIDAFLORIDA CERTIFICATION BOARD

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: 3/30/2025

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