Active NPI
Enaka Marie Yembe, M.D.
- Family Medicine Physician
- Ruston, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 199975
- Practice address
- 612 S. Farmerville Street
Ruston, LA 71270 - Phone
- (318) 436-2600
- Fax
- (318) 436-2601
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q5954 | TX | |
| Family Medicine Physician | 207Q00000X | 199975 | LA | Primary |
Addresses
Primary practice location
612 S. Farmerville Street
Ruston, LA 71270
Mailing address
PO Box 445
Ruston, LA 71273-0445
Phone (318) 436-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1054453 | Medicaid | LA |
Other names 1
- Marie Susan Enaka Yembe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Service District No 1a of the Parish of Richland State of la
Practice addresses (Care Compare)
407 Cincinnati St
Delhi, LA 71232-3007
Hospital & facility affiliations
- Richland Parish Hospital-Delhi
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199975 | LA | MD | Family Medicine Physician |
| Q5954 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Service District No 1-a of the Parish of Richland State of la | Current | Accepting new patients | |
| A Plus Medical of Ruston LLC | Current | Accepting new patients | |
| Emergency Staffing Solutions Inc | Current | Accepting new patients | |
| Hospital Service District No 1-a of the Parish of Richland State of la | Family Medicine | Current | Accepting new patients |
| A Plus Medical of Ruston LLC | Family Medicine | Current | Accepting new patients |
| Hospital Service District No 1-a of the Parish of Richland State of la | Current | Accepting new patients |
Locations
501 Broadway St
Delhi, LA 71232
Phone (318) 878-6650
407 Cincinnati St
Delhi, LA 71232
Phone (318) 878-5171
508 Broadway St
Delhi, LA 71232
Phone (318) 878-3737
207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109
254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181
2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482
17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200
Interoperability endpoints
- enaka.yembe.2@13199.direct.athenahealth.com
- https://api.platform.athenahealth.com/13199/brand/3/csg/21/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Ruston, LA
- NPI 1245708718
-
- Emergency Medicine Physician
- Many, LA
- NPI 1477590974
-
- Critical Access Hospital
- Delhi, LA
- NPI 1336109768
-
- Critical Access Hospital Clinic/Center
- Delhi, LA
- NPI 1851317911
Family Medicine
-
- Rural Health Clinic/Center
- Ruston, LA
- NPI 1518459700
-
- Emergency Medicine Physician
- Delhi, LA
- NPI 1760348056
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Delhi, LA
- NPI 1336109768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1003874314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 445",
"city": "RUSTON",
"state": "LA",
"postal_code": "712730445",
"telephone_number": "318-436-2600",
"fax_number": "318-436-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 S. FARMERVILLE STREET",
"city": "RUSTON",
"state": "LA",
"postal_code": "71270",
"telephone_number": "318-436-2600",
"fax_number": "318-436-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEMBE",
"first_name": "ENAKA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q5954",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "199975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1054453",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE SUSAN",
"last_name": "ENAKA YEMBE",
"credential": "M.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.