Active NPI
Yewande Noah, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95026261
- Practice address
- 1245 S Winchester Blvd Ste 110
San Jose, CA 95128-3908 - Phone
- (925) 282-1778
- NPI assigned
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 95170547 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61486087 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95026261 | CA | Primary |
Addresses
Primary practice location
1245 S Winchester Blvd Ste 110
San Jose, CA 95128-3908
Mailing address
1245 S Winchester Blvd Ste 110
San Jose, CA 95128-3908
Phone (925) 282-1778
Other practice location 1
4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 987-2000
Other practice location 2
3800 Coolidge Ave
Oakland, CA 94602-3311
Phone (510) 482-2244 ext. 5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1245 S Winchester Blvd
Suite 110
San Jose, CA 95128-3908
Phone (925) 282-1778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95170547 | CA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| 95026261 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61486087 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Childrens Hospital | Current | Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Pacific Coast Psychiatric Associates Inc | Current | Accepting new patients | |
| Seattle Children'S Hospital | Past | Accepting new patients |
Locations
1480 64th St
Ste 150
Emeryville, CA 94608
Phone (415) 296-5292
490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944
1245 S Winchester Blvd
Ste 110
San Jose, CA 95128
Phone (415) 296-5299
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100
Interoperability endpoints
- lifestancehealth.yewandenoah@148377.advancedmd-direct.com
Organizations & group practices 4
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.
-
- Specialist
- Seattle, WA
- NPI 1003319500
-
- Clinic Pharmacy
- Seattle, WA
- NPI 1245342153
-
- Home Infusion Agency
- Bothell, WA
- NPI 1245383348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508510546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 S WINCHESTER BLVD STE 110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283908",
"telephone_number": "925-282-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 S WINCHESTER BLVD STE 110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283908",
"telephone_number": "925-282-1778"
}
],
"practiceLocations": [
{
"address_1": "4800 Sand Point Way NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981053901",
"country_code": "US",
"telephone_number": "206-987-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 Coolidge Ave",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946023311",
"country_code": "US",
"telephone_number": "510-482-2244 x5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOAH",
"first_name": "YEWANDE",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "CA",
"license": "95170547",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61486087",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95026261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.