Active NPI
Yomara Crespo Ortiz
- Registered Nurse
- Bloomington, MN
National Provider Identifier
1104441419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- -85956-G
- Practice address
- 8600 Old Cedar Ave S Apt 106
Bloomington, MN 55425-2019 - Phone
- (612) 244-0233
- NPI assigned
- Jun 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | -85956-G | PR | Primary |
Addresses
Primary practice location
8600 Old Cedar Ave S Apt 106
Bloomington, MN 55425-2019
Mailing address
8600 Old Cedar Ave S Apt 106
Bloomington, MN 55425-2019
Phone (612) 244-0233
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | y.cre@icloud.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| -85956-G | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1104441419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 OLD CEDAR AVE S APT 106",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554252019",
"telephone_number": "612-244-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 OLD CEDAR AVE S APT 106",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554252019",
"telephone_number": "612-244-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESPO ORTIZ",
"first_name": "YOMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-11",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "-85956-G",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "y.cre@icloud.com",
"affiliation": "N",
"address_1": "8600 Old Cedar Ave S Apt 106",
"city": "Bloomington",
"state": "MN",
"country_code": "US",
"postal_code": "554252019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.