Individual provider Active NPI

Renee Jo Yarman

  • Registered Nurse
  • Sacramento, CA
National Provider Identifier
1376211607
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95110417 Issued in CA
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

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
95110417CAMDRegistered Nurse
26733IDMDRegistered Nurse
815212NVMDRegistered Nurse
201607243RNORMDRegistered Nurse
RN60689508WAMDRegistered 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.

Verify at the official NPI Registry.