Active NPI
Jennifer Youman, CERTIFIED HAIR LOSS
- Prosthetics Case Management
- Conyers, GA
National Provider Identifier
1336500685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- CO096451
- Practice address
- 1540 Highway 138 SE
1K
Conyers, GA 30013-1297 - Phone
- (770) 761-9908
- NPI assigned
- Mar 15, 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | CO096451 | GA | Primary |
Addresses
Primary practice location
1540 Highway 138 SE
1K
Conyers, GA 30013-1297
Mailing address
1540 Highway 138 SE
1K
Conyers, GA 30013-1297
Phone (770) 761-9908
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 |
|---|---|---|---|
| CO096451 | GA | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1336500685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 HIGHWAY 138 SE",
"address_2": "1K",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131297",
"telephone_number": "770-761-9908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 HIGHWAY 138 SE",
"address_2": "1K",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131297",
"telephone_number": "770-761-9908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUMAN",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "CERTIFIED HAIR LOSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "GA",
"license": "CO096451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.