Yacumb Prather

Key facts

NPI

1407398472

Entity type

Individual (NPI type 1)

Primary specialty

Other Technician 247200000X

Practice address

438 Los Altos Way
Altamonte SPG, FL 32714-3276

Phone

(407) 613-7866

NPI assigned

Nov 8, 2016

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2016.

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1407398472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 LOS ALTOS WAY",
            "city": "ALTAMONTE SPG",
            "state": "FL",
            "postal_code": "327143276",
            "telephone_number": "407-613-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 LOS ALTOS WAY",
            "city": "ALTAMONTE SPG",
            "state": "FL",
            "postal_code": "327143276",
            "telephone_number": "407-613-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "YACUMB",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte SPG, FL

• MD Now Medical Centers Inc
• Dana Lynn Nolan, MS, LMHC
• D'Erica Dione Oates, CRANIAL PROTHESIS
• Robbie Phillips
• Tyler William Pickell, DO
• Ana Saavedra
• Solution Health Specialists LLC
• Maria Judith Storer Beauchamp, CST
• Generose Hipos Tadle
• Victoria Angela Tonno, PA-C

All providers in Altamonte SPG, FL · Other Technician in Florida