Audrey M. Yan, RN, L.M.P., IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L37947 Issued in VA

Practice address

24604 104TH Ave SE # 203
Kent, WA 98030-4965

Phone

(253) 859-2373

Fax

(253) 856-8754

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Audrey M.K. Yan

  • Specialist
  • Kent, WA
  • NPI 1528114394

  Multi-Specialty

  NPD (past) Authorized official
• Momyer Chiropractic and Massage, P.S.

  • Chiropractor
  • Kent, WA
  • NPI 1215165824

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755388800000",
    "number": "1144397183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 S 203RD ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980311463",
            "telephone_number": "253-854-1823",
            "fax_number": "253-854-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24604 104TH AVE SE # 203",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304965",
            "telephone_number": "253-859-2373",
            "fax_number": "253-856-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "AUDREY",
        "middle_name": "M.",
        "credential": "RN, L.M.P., IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00083503",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00005757",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "L37947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDE NUMBER",
            "identifier": "31651",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yanique Ricie Nana Yakam Azah, ARNP
• Alla Yakobchuk, LMT
• Lyubov A. Yakubets, LMP
• Brandon Tomi Yamamura, D.D.S., M.S.D.
• Peter Mori Yamamura, D.D.S., M.S.D.
• Donovan Yan, DMD
• Chu Hsuan Yang, OT
• Leo Yang, PHARMD
• Tchido Yao, NP
• Maryam Yaqobi

• Lactation Consultant (Registered Nurse) in Kent, WA
• Providers in Kent, WA by specialty
• Lactation Consultant (Registered Nurse) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; 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.