Individual provider Active NPI

Yazmyn Alechia Yearde, CRC

  • Rehabilitation Counselor
  • Bronx, NY
National Provider Identifier
1497436497
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
License
00117091 Issued in NY
Practice address
100 Carver Loop Apt 13a
Bronx, NY 10475-2934
Phone
(347) 260-2040
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 00117091 NY Primary

Addresses

Primary practice location

100 Carver Loop Apt 13a
Bronx, NY 10475-2934

Mailing address

100 Carver Loop Apt 13a
Bronx, NY 10475-2934
Phone (347) 260-2040

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
00117091NYMDRehabilitation Counselor

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1497436497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARVER LOOP APT 13A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752934",
            "telephone_number": "347-260-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARVER LOOP APT 13A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752934",
            "telephone_number": "347-260-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARDE",
        "first_name": "YAZMYN",
        "middle_name": "ALECHIA",
        "name_prefix": "Ms.",
        "credential": "CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NY",
            "license": "00117091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.