Yeshua Reentry and Recovery Center Inc

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

YESHUA REENTRY AND RECOVERY CENTER INC

Practice address

1235 Sampson St
Des Moines, IA 50316

Phone

(515) 339-9016

Fax

(515) 266-6029

NPI assigned

Oct 8, 2020

Last updated

Oct 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacquelyn Seymour

Title

Board Member

Phone

(515) 339-9016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1154928497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503040836",
            "telephone_number": "515-339-9016",
            "fax_number": "515-266-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SAMPSON ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50316",
            "telephone_number": "515-339-9016",
            "fax_number": "515-266-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YESHUA REENTRY AND RECOVERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "515-339-9016"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlynn Marie Ybarra
• Dylan Yeager, RN, BSN
• Barbara J Yeazel, ARNP
• Reanna Yenger, PHARMD
• Esmiralda Yeremeyeva Henderson, MD
• Phyo Su Yin, MD
• Kale Matthew Yoakum
• Robert Miller Yoho, D.P.M.
• Megan Kathleen Yonkovic, ARNP
• Daniel J. Yoo, M.D.

• Community Health Worker in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Community Health Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.