Ellen Jane Yoakam, REGISTERED NNURSE

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

345810 Issued in OH

Practice address

4348 Johnstown Utica Rd
4348 Johnstown Utica Rd
Utica, OH 43080

Phone

(740) 398-6255

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1548807589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "UTICA",
            "state": "OH",
            "postal_code": "430800026",
            "telephone_number": "740-398-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 JOHNSTOWN UTICA RD",
            "address_2": "4348 JOHNSTOWN UTICA RD",
            "city": "UTICA",
            "state": "OH",
            "postal_code": "43080",
            "telephone_number": "740-398-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOAKAM",
        "first_name": "ELLEN",
        "middle_name": "JANE",
        "credential": "REGISTERED NNURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "OH",
            "license": "345810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Registered Nurse in Utica, OH
• Providers in Utica, OH by specialty
• Gerontology Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.