Active NPI
Jessica Rose Yammine, APRN
- Acute Care Nurse Practitioner
- Wichita, KS
National Provider Identifier
1184088031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 77197
- Practice address
- 9211 E 21St St N
Wichita, KS 67206-2900 - Phone
- (316) 609-4501
- NPI assigned
- Apr 7, 2016
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 77197 | KS | Primary |
Addresses
Primary practice location
9211 E 21St St N
Wichita, KS 67206-2900
Mailing address
12526 E Central Ave
Apt 712
Wichita, KS 67206-2812
Phone (316) 992-6761
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77197 | KS | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1184088031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12526 E CENTRAL AVE",
"address_2": "APT 712",
"city": "WICHITA",
"state": "KS",
"postal_code": "672062812",
"telephone_number": "316-992-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9211 E 21ST ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672062900",
"telephone_number": "316-609-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMMINE",
"first_name": "JESSICA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KS",
"license": "77197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.