Individual provider Active NPI

David Warren Yancey, APRN

  • Family Nurse Practitioner
  • McEwen, TN
National Provider Identifier
1447237649
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN 6666 Issued in TN
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

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4118867OtherTNBLUE CROSS BLUE SHIELD PIN
3344296MedicaidTN

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

LicenseStateTypeSpecialty
6666TNMDClinical Social Worker
APN 6666TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McEwen Family Clinic PLLC Family CurrentSince Jan 3, 2006 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.

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.

Verify at the official NPI Registry.