Amanda Yassin

Primary specialty

Critical Care PharmacistTaxonomy code 1835C0205X

License

RP0007979 Issued in WV

Practice address

1400 Northside Forsyth Dr
Cumming, GA 30041-7668

Phone

(770) 844-3200

NPI assigned

Apr 6, 2016

Last updated

Apr 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1528422649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 OAK RIDGE DR",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425038",
            "telephone_number": "770-540-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NORTHSIDE FORSYTH DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417668",
            "telephone_number": "770-844-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSIN",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "GA",
            "license": "RPH029000",
            "primary": false
        },
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "WV",
            "license": "RP0007979",
            "primary": true
        },
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "SC",
            "license": "PH.35771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivienne Yakum, PAC
• Young Jin Yang, FNP-C
• Robert K. Yarbrough, MD
• Erin Eileen Yard, APRN FNP-C
• Nitsan Yassin Jakob, LPC M.A
• Isaac Yates
• Lauren Yates, M.ED., CCC-SLP
• Revanth Sai Yendamuri, MD
• Jonathan Geeloung Yin, OD
• Michael Yaoyao Yin, M.D.

• Critical Care Pharmacist in Cumming, GA
• Providers in Cumming, GA by specialty
• Critical Care Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.