Active NPI
Deborah Yommer
- Gerontology Nurse Practitioner
- York, PA
National Provider Identifier
1558733469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP015371
- Practice address
- 2350 Freedom Way
Suite 202
York, PA 17402-8200 - Phone
- (717) 851-2465
- Fax
- (717) 741-3043
- NPI assigned
- Oct 30, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP015371 | PA | Primary |
Addresses
Primary practice location
2350 Freedom Way
Suite 202
York, PA 17402-8200
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-2465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO1669333 | Other | PA | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP015371 | PA | MD | Gerontology Nurse Practitioner |
Interoperability endpoints
- dyommer16084@wellspan.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1558733469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-2465",
"fax_number": "717-741-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 FREEDOM WAY",
"address_2": "SUITE 202",
"city": "YORK",
"state": "PA",
"postal_code": "174028200",
"telephone_number": "717-851-2465",
"fax_number": "717-741-3043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOMMER",
"first_name": "DEBORAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-30",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP015371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "PO1669333",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.