Active NPI
Renee Jo Yarman
- Registered Nurse
- Sacramento, CA
National Provider Identifier
1376211607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95110417
- Practice address
- 840 Wixford Way
Sacramento, CA 95864-6139 - Phone
- (801) 920-9452
- NPI assigned
- Sep 1, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26733 | ID | |
| Registered Nurse | 163W00000X | 201607243RN | OR | |
| Registered Nurse | 163W00000X | 815212 | NV | |
| Registered Nurse | 163W00000X | RN60689508 | WA | |
| Registered Nurse | 163W00000X | 95110417 | CA | Primary |
Addresses
Primary practice location
840 Wixford Way
Sacramento, CA 95864-6139
Mailing address
840 Wixford Way
Sacramento, CA 95864-6139
Phone (801) 920-9452
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | renee.yarman@prestigecare.com | Direct | Prestige Care Inc. |
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 |
|---|---|---|---|
| 95110417 | CA | MD | Registered Nurse |
| 26733 | ID | MD | Registered Nurse |
| 815212 | NV | MD | Registered Nurse |
| 201607243RN | OR | MD | Registered Nurse |
| RN60689508 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1376211607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 WIXFORD WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958646139",
"telephone_number": "801-920-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 WIXFORD WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958646139",
"telephone_number": "801-920-9452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARMAN",
"first_name": "RENEE",
"middle_name": "JO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "26733",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201607243RN",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "815212",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60689508",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95110417",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "renee.yarman@prestigecare.com",
"affiliation": "Y",
"endpointDescription": "Employer",
"affiliationName": "Prestige Care Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7700 NE Parkway Dr",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986626648",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.