Eric Basile Yakam

Primary specialty

DriverTaxonomy code 172A00000X

License

142504456 Issued in TN

Practice address

2355 Gale LN
Chattanooga, TN 37421-1685

Phone

(254) 266-0801

NPI assigned

Mar 6, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Eric Basile Petdan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Y & S Transport

  • Non-emergency Medical Transport (VAN)
  • Chattanooga, TN
  • NPI 1720834369
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1023876992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 GALE LN",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211685",
            "telephone_number": "254-266-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 GALE LN",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211685",
            "telephone_number": "254-266-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKAM",
        "first_name": "ERIC",
        "middle_name": "BASILE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TN",
            "license": "00224039",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "TN",
            "license": "142504456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "PETDAN",
            "middle_name": "BASILE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anjanette Raynata Wynn, PT
• Kimberly Rae Wynn
• Y & S Transport
• Arpita S Yadav, MD
• Jaime S Yaich, DNP, FNP-BC, APRN
• Jenesis M Yanez, MD
• Valentina Yang
• Rex A Yannis, M.D.
• Dolorosa B Yap, MD
• Richard L. Yap, M.D.

• Driver in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Driver in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.