Michele Lee Yakicic, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN504303L Issued in PA

Practice address

429 Manor Dr Ste 10
Ebensburg, PA 15931-4917

Phone

(814) 472-6060

Fax

(814) 472-1293

NPI assigned

Mar 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michele Lee Stansfield Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1437917291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 BETZ RD",
            "city": "SIDMAN",
            "state": "PA",
            "postal_code": "159553400",
            "telephone_number": "814-525-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 MANOR DR STE 10",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314917",
            "telephone_number": "814-472-6060",
            "fax_number": "814-472-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKICIC",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN504303L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "STANSFIELD",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Elizabeth Winfield, R.D.
• Renee Wolbert, CCC-SLP
• Philip M Woo Jr., DMD
• Elizabeth J Woods, PAC
• Deawna L Wyandt
• Jennifer L Yatsky, RN
• Erin M Yesenosky, CRNP
• Young Family Medicine PC
• Janet Young, SLP
• Stephanie S Young, D.O.

• Registered Nurse in Ebensburg, PA
• Providers in Ebensburg, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.