Individual provider · Type 1 NPI

Derekka Alyse Ybarra

Nurse Practitioner · Miami, OK

NPI number 1104336536 Active

Practice location

30 B St SW
Miami, OK 74354-6808

Mailing address

PO Box 3810
Joplin, MO 64803-3810

Other practice locations

  • 1510 Elmwood Cir, Miami, OK 74354-1405 · (918) 541-6740
  • 200 2nd Ave SW, Miami, OK 74354-6830 · (918) 542-6611
  • 1102 W 32nd St, Joplin, MO 64804-3503 · (417) 347-1111
  • 3333 Mcintosh Cir Ste 4, Joplin, MO 64804-3681 · (417) 347-5000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X2020036159 (MO)
Nurse Practitioner Primary 363L00000X113409 (OK)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104336536

Derekka Alyse Ybarra's National Provider Identifier is 1104336536, issued on Oct 12, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Miami, OK. The record was last updated on Aug 7, 2025.