Youglycemic Diabetes Treatment & Prevention

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

YOUGLYCEMIC DIABETES TREATMENT & PREVENTION

Practice address

3902 Creekside Loop
Suite 105
Yakima, WA 98902-4876

Phone

(509) 248-6414

Fax

(509) 248-6408

NPI assigned

Aug 3, 2015

Last updated

Aug 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenda Petrie

Title

Owner

Phone

(509) 248-6414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenda P Garcia, ARNP

  • Nurse Practitioner
  • Yakima, WA
  • NPI 1881602928
  Medicare reassignment NPD

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1518343516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 S 54TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989032412",
            "telephone_number": "509-248-6414",
            "fax_number": "509-248-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 CREEKSIDE LOOP",
            "address_2": "SUITE 105",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024876",
            "telephone_number": "509-248-6414",
            "fax_number": "509-248-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUGLYCEMIC DIABETES TREATMENT & PREVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-248-6414"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Yoder
• Megan Yolo, SUDPT
• Carla Yvonne Yorba, FNP
• Amy Elizabeth York, SUDPT
• Brendon Yoshino
• Jade Elizabeth Young, RN
• Jenna Emilee Young
• Lester Shinchen Young, MD
• Maria Carmen Young
• Mark C Young, DDS INC

• Family Nurse Practitioner in Yakima, WA
• Providers in Yakima, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.