Blayne Denise Yarmat

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

15822 132ND St
Lemont, IL 60439

Phone

(312) 405-0096

NPI assigned

Nov 1, 2016

Last updated

Jun 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1093267544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15822 132ND ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604396476",
            "telephone_number": "312-405-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15822 132ND ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "60439",
            "telephone_number": "312-405-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARMAT",
        "first_name": "BLAYNE",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST AGENCY",
            "identifier": "124-139-001-K",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Witt, DDS
• Tara Wojciechowski
• Kelly Lauren Wolfe, LCPC
• Kathryn Wood
• Natalie Yard, LPC
• Mohammed Akbar Yousuf, M.D.
• Melissa Ann Zambon
• Lillith Margaret Bernice Zazueta Cabada, RBT
• Renata Ziliene, PTA
• Alexis Zimmerman, OD

• Athletic Trainer in Lemont, IL
• Providers in Lemont, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.