Individual provider Active NPI

Mary Christine Yamin, MSN /FNP

  • Family Nurse Practitioner
  • Troy, NY
National Provider Identifier
1346281664
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330391-1 Issued in NY
Practice address
200 Broadway
Suite 201
Troy, NY 12180-3289
Phone
(518) 274-5642
Fax
(518) 274-5646
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F330391-1 NY Primary

Addresses

Primary practice location

200 Broadway
Suite 201
Troy, NY 12180-3289

Mailing address

17 Lansing Ave
Troy, NY 12180-4828
Phone (518) 274-5640

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F330391-1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1346281664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121804828",
            "telephone_number": "518-274-5640",
            "fax_number": "518-274-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROADWAY",
            "address_2": "SUITE 201",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803289",
            "telephone_number": "518-274-5642",
            "fax_number": "518-274-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMIN",
        "first_name": "MARY",
        "middle_name": "CHRISTINE",
        "credential": "MSN /FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330391-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.