Active NPI
Jean L Yonga, RN
- Registered Nurse
- Cincinnati, OH
National Provider Identifier
1558655571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.437541
- Practice address
- 60 S Terrace Dr
# 2
Cincinnati, OH 45215-3629 - Phone
- (513) 563-0412
- Fax
- (513) 563-0412
- NPI assigned
- Jun 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN-144208-M-IV | OH | |
| Registered Nurse | 163W00000X | RN.437541 | OH | Primary |
Addresses
Primary practice location
60 S Terrace Dr
# 2
Cincinnati, OH 45215-3629
Mailing address
60 S Terrace Dr
# 2
Cincinnati, OH 45215-3629
Phone (513) 563-0412
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.437541 | OH | MD | Registered Nurse |
| PN-144208-M-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502668800000",
"number": "1558655571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 S TERRACE DR",
"address_2": "# 2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452153629",
"telephone_number": "513-563-0412",
"fax_number": "513-563-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 S TERRACE DR",
"address_2": "# 2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452153629",
"telephone_number": "513-563-0412",
"fax_number": "513-563-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YONGA",
"first_name": "JEAN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-07",
"last_updated": "2017-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN-144208-M-IV",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.437541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.