Evelyn Amanda Yaeggy

Primary specialty

Lay MidwifeTaxonomy code 175M00000X

Practice address

1619 Dayton Ave Ste 111
Saint Paul, MN 55104-6276

Phone

(612) 518-2140

NPI assigned

Jun 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Evelyn Amanda Hernandez Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1215669049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 CAMDEN AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302220",
            "telephone_number": "612-518-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 DAYTON AVE STE 111",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046276",
            "telephone_number": "612-518-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAEGGY",
        "first_name": "EVELYN",
        "middle_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@vidamidwifery.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPPA compliant health information",
            "address_1": "1619 Dayton Ave Ste 111",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551046276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "HERNANDEZ",
            "middle_name": "AMANDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tzy L Ya
• Rajih Yabani
• Mirit Mohsen Yacoup, MD
• Thomas J Yacovella, MD
• Rayna Yaeger Yaeger, PSYD
• Ridwan Ahmed Yahya
• Malyun Ali Yahye
• Sarah Yamaguchi, M.D.
• Mizuho Yamamoto, LICSW
• Lilia Yamashita

• Lay Midwife in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Lay Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.