Active NPI
Lydia Jill Yeager, NP
- Nurse Practitioner
- New York, NY
National Provider Identifier
1164828406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 382502
- Practice address
- 65 Broadway FL 14
New York, NY 10006-2516 - Phone
- (212) 348-4000
- NPI assigned
- Nov 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 382502 | NY | Primary |
Addresses
Primary practice location
65 Broadway FL 14
New York, NY 10006-2516
Mailing address
65 Broadway FL 14
New York, NY 10006-2516
Phone (212) 348-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
279 E 3Rd St
New York, NY 10009-7813
Phone (212) 531-7533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 382502 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| Ryan-Chelsea Clinton Community Health Center | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | Accepting new patients |
Locations
110 W 97th St
New York, NY 10025
Phone (212) 316-7906
645 10th Ave
New York, NY 10036
Phone (212) 265-4500
110 W 97th St
#0
New York, NY 10025
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1851328199
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1215978960
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1043079064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1164828406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 BROADWAY FL 14",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100062516",
"telephone_number": "212-348-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 BROADWAY FL 14",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100062516",
"telephone_number": "212-348-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEAGER",
"first_name": "LYDIA",
"middle_name": "JILL",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-14",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "382502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.