Ramona Francine Yazzie, OTR
Individual provider Active NPI Occupational Therapist · Teecnospos, AZ
NPI 1386208486 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1386208486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 4057 (NM)
- Practice address
- US Hwy 160 & Navajo Route 35 - Red Mesa
Teecnospos, AZ 86514 - Phone
- (928) 656-5000
- NPI assigned
- Apr 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210430001282 | TX | Practitioner - Occupational Therapist in Private Practice | 7810306917 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4057 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current |
Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4057 | NM | Yes |
Addresses
Primary practice location
US Hwy 160 & Navajo Route 35 - Red Mesa
Teecnospos, AZ 86514
Mailing address
PO Box 160
Shiprock, NM 87420-0160
Phone (928) 656-5000
NPI Registry JSON
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1386208486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "874200160",
"telephone_number": "928-656-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US HWY 160 & NAVAJO ROUTE 35 - RED MESA",
"city": "TEECNOSPOS",
"state": "AZ",
"postal_code": "86514",
"telephone_number": "928-656-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAZZIE",
"first_name": "RAMONA",
"middle_name": "FRANCINE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2021-05-19",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "4057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teecnospos, AZ
- Richard A Stimson
- Evelyn Todacheene
- John Wang
- Richard Hugh Ward
- Surrina Whitehorse
- Norman J. Yellowhair
All providers in Teecnospos, AZ · Occupational Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.