Individual provider Active NPI

Yavonne Marie Yager Magliocca, COTA

  • Community Health Worker
  • Johnstown, NY
National Provider Identifier
1427292044
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
003995-1 Issued in NY
Practice address
2-8 W Main St
Johnstown, NY 12095-2308
Phone
(518) 762-8215
NPI assigned
Apr 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 003995-1 NY Primary

Addresses

Primary practice location

2-8 W Main St
Johnstown, NY 12095-2308

Mailing address

2-8 W Main St
Johnstown, NY 12095-2308
Phone (518) 762-8215

Other names 1

  • Yavonne Marie Yager Former name

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
003995-1NYMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1427292044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-8 W MAIN ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952308",
            "telephone_number": "518-762-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-8 W MAIN ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952308",
            "telephone_number": "518-762-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGER MAGLIOCCA",
        "first_name": "YAVONNE",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "003995-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAVONNE",
            "last_name": "YAGER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.