Yvonne Verla Tah, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

229818 Issued in NC

Practice address

701 E Roosevelt Blvd Ste 800a
Monroe, NC 28112-5187

Phone

(704) 225-0211

NPI assigned

Jun 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• United Guardian Health

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Harrisburg, NC
  • NPI 1215800222
  NPD Authorized official

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1093200271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9159 PERSEVERANCE DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280758388",
            "telephone_number": "651-226-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ROOSEVELT BLVD STE 800A",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125187",
            "telephone_number": "704-225-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAH",
        "first_name": "YVONNE",
        "middle_name": "VERLA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "229818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Noelle Swink
• Kailey Cromer Sykes
• Susan S Syphard, DO
• T.M. Nix, DDS, P.a.
• Logan Avery Tafur, OTA
• William Dale Tanner Jr.
• Casey Tarwater, PT, DPT
• Ashton Baucom Taylor, LCMHCA
• Bryce Kendall Taylor, LPCA
• Erin Nicole Taylor, PHARMD

• All providers in Monroe, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.