Individual provider Active NPI

Jessica Elaine Yearby, RRT

  • Registered Respiratory Therapist
  • Albany, GA
National Provider Identifier
1124314380
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
68880 Issued in TX
Practice address
1122 Old Pretoria Rd
Albany, GA 31721-9482
Phone
(229) 395-5135
NPI assigned
Jun 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 68880 TX Primary
Registered Respiratory Therapist 227900000X 11133 FL
Registered Respiratory Therapist 227900000X 008204 GA

Addresses

Primary practice location

1122 Old Pretoria Rd
Albany, GA 31721-9482

Mailing address

1122 Old Pretoria Rd
Albany, GA 31721-9482
Phone (229) 395-5135

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

LicenseStateTypeSpecialty
68880TXMDProfessional Counselor
11133FLMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1124314380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 OLD PRETORIA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219482",
            "telephone_number": "229-395-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 OLD PRETORIA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219482",
            "telephone_number": "229-395-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARBY",
        "first_name": "JESSICA",
        "middle_name": "ELAINE",
        "name_prefix": "Miss",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "TX",
            "license": "68880",
            "primary": true
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "11133",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "GA",
            "license": "008204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.