Active NPI
David Warren Yancey, APRN
- Family Nurse Practitioner
- McEwen, TN
National Provider Identifier
1447237649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN 6666
- Practice address
- 10161 US Hwy 70 East
McEwen, TN 37101 - Phone
- (931) 582-3170
- Fax
- (931) 582-3178
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN 6666 | TN | Primary |
Addresses
Primary practice location
10161 US Hwy 70 East
McEwen, TN 37101
Mailing address
10161 US Hwy 70 East
MC Ewen, TN 37101-4442
Phone (931) 582-3170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4118867 | Other | TN | BLUE CROSS BLUE SHIELD PIN |
| 3344296 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6666 | TN | MD | Clinical Social Worker |
| APN 6666 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McEwen Family Clinic PLLC | Family | Current | Accepting new patients |
Locations
9307 US Highway 70 E
Mc Ewen, TN 37101
Phone (931) 582-6681
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- McEwen, TN
- NPI 1124116454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1447237649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10161 US HWY 70 EAST",
"city": "MC EWEN",
"state": "TN",
"postal_code": "371014442",
"telephone_number": "931-582-3170",
"fax_number": "931-582-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10161 US HWY 70 EAST",
"city": "MCEWEN",
"state": "TN",
"postal_code": "37101",
"telephone_number": "931-582-3170",
"fax_number": "931-582-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANCEY",
"first_name": "DAVID",
"middle_name": "WARREN",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN 6666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PIN",
"identifier": "4118867",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3344296",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McEwen, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.