Grace E Yudom, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN1005854 Issued in DC

Practice address

1100 New Jersey Ave SE Ste 845
Washington, DC 20003-3338

Phone

(866) 617-3781

NPI assigned

Jul 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Bethesda Home Health Services LLC

  • Home Health Agency
  • Hyattsville, MD
  • NPI 1730532326
  NPD (past) Authorized official

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1164864518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JEFFERSON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116628",
            "telephone_number": "202-640-8197",
            "fax_number": "202-635-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NEW JERSEY AVE SE STE 845",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033338",
            "telephone_number": "866-617-3781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Georgia Ave NW Ste 323",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200121616",
            "country_code": "US",
            "telephone_number": "202-723-3060",
            "fax_number": "202-723-3065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUDOM",
        "first_name": "GRACE",
        "middle_name": "E",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1005854",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "LPN1005854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ziqing Yu, LGPC
• Berwin Li Yuan, MD
• Meredith Streeper Yuan, M.S. CCC-SLP
• Andrea Yudell, L.I.C.S.W.
• Bei Yudom, HOME HEALTH AIDE
• Ngapinsi Yudom
• Joy Marie Yuen, M.D.
• Blanca Yuevara
• Flora Kabit Yufenyuy, DR
• Joseph Yufenyuy

• Licensed Practical Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Licensed Practical Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.