Individual provider Active NPI

Mary Yanagawa, CDM

  • Midwife
  • Palmer, AK
National Provider Identifier
1275087397
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
104945 Issued in AK
Practice address
780 S Snodgrass Dr
Palmer, AK 99645-9149
Phone
(907) 357-7781
Fax
(907) 357-7786
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 104945 AK Primary

Addresses

Primary practice location

780 S Snodgrass Dr
Palmer, AK 99645-9149

Mailing address

780 S Snodgrass Dr
Palmer, AK 99645-9149
Phone (907) 357-7781

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

LicenseStateTypeSpecialty
104945AKMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Valor Midwifery Services Midwife Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1275087397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 S SNODGRASS DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459149",
            "telephone_number": "907-357-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S SNODGRASS DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459149",
            "telephone_number": "907-357-7781",
            "fax_number": "907-357-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANAGAWA",
        "first_name": "MARY",
        "credential": "CDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AK",
            "license": "104945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.