Dawnmarie Yoder

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN286369 Issued in PA

Practice address

759 Susquehanna TRL
Watsontown, PA 17777-8109

Phone

(570) 538-1240

Fax

(570) 538-1530

NPI assigned

Apr 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Habit Opco, LLC

  dba Habit OPCO- Springfield

  • Methadone Clinic
  • Springfield, MA
  • NPI 1023175072
  NPD (past)
• Habit Opco, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fitchburg, MA
  • NPI 1255034880
  NPD (past)

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1144963448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 SUSQUEHANNA TRL",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177778109",
            "telephone_number": "570-538-1240",
            "fax_number": "570-538-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 SUSQUEHANNA TRL",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177778109",
            "telephone_number": "570-538-1240",
            "fax_number": "570-538-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "DAWNMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN286369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watsontown Operating, LLC (Watsontown Rehabilitation and Nursing Center)
• Ashley Marie Williams
• Amy Eileen Winter, CRNP
• Karen Anne Wolf, PHD, APRN-BC,DRNAP
• Deborah Wolfe Adams
• Heather Ann Yost, PA-C
• Phoebe Yost
• Corrine Emily Zerbe
• Kelli J Zimmerman, LPN

• Licensed Practical Nurse in Watsontown, PA
• Providers in Watsontown, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.