Individual provider Active NPI

Ekaterina Aileen Yudin

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1447025051
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95033690 Issued in CA
Practice address
1520 Clifton Rd NE
Atlanta, GA 30322-4201
Phone
(404) 727-7980
NPI assigned
Nov 24, 2023
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95033690 CA Primary
Registered Nurse 163W00000X RN324018 GA

Addresses

Primary practice location

1520 Clifton Rd NE
Atlanta, GA 30322-4201

Mailing address

1520 Clifton Rd NE
Atlanta, GA 30322-4201
Phone (404) 727-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407000354 CA Practitioner - Nurse Practitioner 5698299188 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN324018GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc CurrentSince Mar 3, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc PastSince Mar 3, 2025 Accepting new patients

Locations

316 N Main St
Salinas, CA 93901
Phone (831) 758-8261

316 N Main St
Ste 200
Salinas, CA 93901
Phone (831) 758-8261

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

1694 Tully Rd
Ste 40
San Jose, CA 95122
Phone (408) 795-3600

1119 Pacific Ave
Ste 200
Santa Cruz, CA 95060
Phone (831) 426-5550

625 Hilby Ave
Seaside, CA 93955
Phone (831) 394-1691

398 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 724-7525

Interoperability endpoints

  • Direct secure messaging: ekaterina.yudin.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1447025051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303224201",
            "telephone_number": "404-727-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303224201",
            "telephone_number": "404-727-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUDIN",
        "first_name": "EKATERINA",
        "middle_name": "AILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-24",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95033690",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN324018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.