Active NPI
Yolanda Carley, REGISTERED NURSE
- Registered Nurse
- Valhalla, NY
National Provider Identifier
1376174102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 489573-1
- Practice address
- 115 E Stevens Ave Ste 1
Valhalla, NY 10595-1270 - Phone
- (914) 552-1386
- NPI assigned
- Jan 30, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 489573-1 | NY | Primary |
Addresses
Primary practice location
115 E Stevens Ave Ste 1
Valhalla, NY 10595-1270
Mailing address
57 Bronson Rd
Poughquag, NY 12570-5000
Phone (914) 755-7494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 489573-1 | Other | NY | RN REGISTRATION CERTIFICATE |
| 489573-1 | Other | NY | REGISTERED NURSE |
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 |
|---|---|---|---|
| 489573-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1376174102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 BRONSON RD",
"city": "POUGHQUAG",
"state": "NY",
"postal_code": "125705000",
"telephone_number": "914-755-7494",
"fax_number": "646-588-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E STEVENS AVE STE 1",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951270",
"telephone_number": "914-552-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLEY",
"first_name": "YOLANDA",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "NY",
"license": "489573-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN REGISTRATION CERTIFICATE",
"identifier": "489573-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "489573-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.