Active NPI
Yolande Marie Robertson-Hackney, MD
- Obstetrics & Gynecology Physician
- Silver Spring, MD
National Provider Identifier
1124136668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D0048033
- Practice address
- 1111 Spring St
Suite 220
Silver Spring, MD 20910-4003 - Phone
- (301) 585-0040
- Fax
- (301) 565-8079
- NPI assigned
- Aug 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0048033 | MD | Primary |
Addresses
Primary practice location
1111 Spring St
Suite 220
Silver Spring, MD 20910-4003
Mailing address
1111 Spring St
Suite 220
Silver Spring, MD 20910-4003
Phone (301) 585-0040
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0703588 | Other | MD | UHC COMM |
| 08162 | Other | MD | AMERIGROUP |
| 502040 | Other | MD | NCPPO |
| 2995447 | Other | MD | AETNA HMO |
| 534925-03 | Other | MD | BC/BSMD |
| 100863 | Other | MD | PIORITY PARTNERS |
| 5267046 | Other | MD | AETNA PPO |
| 0002 | Other | DC | BC/BSMD |
| 633194 | Other | MD | MAMSI |
| 363281401 | Medicaid | MD |
Other names 1
- Dr. Yolande Marie Hackney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 19, 2015 through Nov 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0048033 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Women'S Group, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Holy Cross Health, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Germantown, MD
- NPI 1245655638
-
- Obstetrics & Gynecology Physician
- Greenbelt, MD
- NPI 1023179314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1124136668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 SPRING ST",
"address_2": "SUITE 220",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209104003",
"telephone_number": "301-585-0040",
"fax_number": "301-565-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 SPRING ST",
"address_2": "SUITE 220",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209104003",
"telephone_number": "301-585-0040",
"fax_number": "301-565-8079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON-HACKNEY",
"first_name": "YOLANDE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0048033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC COMM",
"identifier": "0703588",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "08162",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "502040",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2995447",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BSMD",
"identifier": "534925-03",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIORITY PARTNERS",
"identifier": "100863",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5267046",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BSMD",
"identifier": "0002",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "633194",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363281401",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YOLANDE",
"last_name": "HACKNEY",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.