DELAND PRIMARY CARE AND AESTHETICS LLC
NPI 1457127615
Nurse Practitioner - Family in Deland, FL

Active since November 29, 2023CLIA 10D2304652 · Waiver
131 E NEW YORK AVE FL 3, STE A, DELAND, FL 32724(386) 202-1401 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deland Primary Care And Aesthetics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELAND PRIMARY CARE AND AESTHETICS LLC (NPI 1457127615) is a healthcare organization registered as a family in Deland, Florida and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Sharon Yelle, Owner, as its authorized official.

NPPES Registry Identity

NPI1457127615
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDELAND PRIMARY CARE AND AESTHETICS LLC
Location Address131 E NEW YORK AVE FL 3, STE ADeland, FL 32724
Mailing Address945 Glenwood RdDeland, FL 32720-2376
Organization SubpartNo
Authorized OfficialSharon YelleOwner · (386) 202-1401
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
NPI 1457127615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
131 E NEW YORK AVE FL 3, Deland, FL 32724

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2304652

Deland Primary Care And Aesthetics LLC · Deland, FL
Active · expires May 15, 2028
CLIA Number10D2304652
Laboratory TypePractitioner Other
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorSharon Yelle
Laboratory Phone(386) 804-6121
Laboratory LocationDeland Primary Care And Aesthetics LLC1315 East New Your Avenue, Floor 3 Suite A,, Deland, FL 32724
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deland Primary Care And Aesthetics LLC's NPI number?

The NPI number for Deland Primary Care And Aesthetics LLC is 1457127615. It was assigned to this organization in the NPPES registry on November 29, 2023.

Where is Deland Primary Care And Aesthetics LLC located?

Deland Primary Care And Aesthetics LLC is located at 131 E New York Ave Fl 3 Ste A, Deland, FL 32724. The listed phone number is (386) 202-1401.

What is Deland Primary Care And Aesthetics LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Deland Primary Care And Aesthetics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2304652) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Deland Primary Care And Aesthetics LLC was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.