Active NPI
Jenny C Yeh-Nelson, PT
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1184757189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 952
- Practice address
- 4725 Candelaria Rd NE
Bel Air Es
Albuquerque, NM 87110-1818 - Phone
- (505) 888-4511
- NPI assigned
- Mar 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 952 | NM | Primary |
Addresses
Primary practice location
4725 Candelaria Rd NE
Bel Air Es
Albuquerque, NM 87110-1818
Mailing address
4725 Candelaria Rd NE
Bel Air Es
Albuquerque, NM 87110-1818
Phone (505) 888-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70868 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 952 | NM | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1184757189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 CANDELARIA RD NE",
"address_2": "BEL AIR ES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101818",
"telephone_number": "505-888-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 CANDELARIA RD NE",
"address_2": "BEL AIR ES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101818",
"telephone_number": "505-888-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEH-NELSON",
"first_name": "JENNY",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70868",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.