Active NPI
Alison Yez, CRNP
- Pediatric Nurse Practitioner
- Broomall, PA
National Provider Identifier
1396952578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP008399
- Practice address
- 2000 Sproul Road
Suite 206
Broomall, PA 19008 - Phone
- (610) 284-0200
- Fax
- (610) 353-7932
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP008399 | PA | Primary |
Addresses
Primary practice location
2000 Sproul Road
Suite 206
Broomall, PA 19008
Mailing address
2000 Sproul Road
Suite 206
Broomall, PA 19008
Phone (610) 284-0200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN554575 | Other | PA | RN LICENSE |
| SP008399 | Other | PA | CRNP LICENSE |
| 20050806 | Other | PA | CRNP CERTIFICATE |
| 004996 | Other | PA | PRESCRIPTION AUTH |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP008399 | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital of Philadelphia | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Erdenheim, PA
- NPI 1831262732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396952578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 SPROUL ROAD",
"address_2": "SUITE 206",
"city": "BROOMALL",
"state": "PA",
"postal_code": "19008",
"telephone_number": "610-284-0200",
"fax_number": "610-353-7932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SPROUL ROAD",
"address_2": "SUITE 206",
"city": "BROOMALL",
"state": "PA",
"postal_code": "19008",
"telephone_number": "610-284-0200",
"fax_number": "610-353-7932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEZ",
"first_name": "ALISON",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP008399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN554575",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNP LICENSE",
"identifier": "SP008399",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNP CERTIFICATE",
"identifier": "20050806",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCRIPTION AUTH",
"identifier": "004996",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.