Active NPI
Natalie Yi, CSFA
- Surgical Physician Assistant
- Murfreesboro, TN
National Provider Identifier
1164018222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 199488
- Practice address
- 1620 Beaconcrest Cir
Murfreesboro, TN 37128-7673 - Phone
- (630) 803-2930
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 199488 | ||
| Surgical Physician Assistant | 363AS0400X | 199488 | Primary |
Addresses
Primary practice location
1620 Beaconcrest Cir
Murfreesboro, TN 37128-7673
Mailing address
1620 Beaconcrest Cir
Murfreesboro, TN 37128-7673
Phone (630) 803-2930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199488 | Other | IL | CSFA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1164018222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 BEACONCREST CIR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371287673",
"telephone_number": "630-803-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 BEACONCREST CIR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371287673",
"telephone_number": "630-803-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YI",
"first_name": "NATALIE",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": "199488",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": "199488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSFA",
"identifier": "199488",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.