Active NPI
Pahoua Yang, REGISTERED NURSE
- Registered Nurse
- De Pere, WI
National Provider Identifier
1407649684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 221659-30
- Practice address
- 2041 W Vista Cir
De Pere, WI 54115-1618 - Phone
- (920) 246-7379
- NPI assigned
- May 28, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 221659-30 | WI | Primary |
Addresses
Primary practice location
2041 W Vista Cir
De Pere, WI 54115-1618
Mailing address
2041 W Vista Cir
De Pere, WI 54115-1618
Phone (920) 246-7379
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 |
|---|---|---|---|
| 221659-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1407649684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 W VISTA CIR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541151618",
"telephone_number": "920-246-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 W VISTA CIR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541151618",
"telephone_number": "920-246-7379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "PAHOUA",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "221659-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Pere, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.