Individual provider Active NPI

Dorcas Yahaya, FNP

  • Family Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1568973113
Registry record updated Oct 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R197169 Issued in MD
Practice address
9135 Piscataway Rd Ste 420
Clinton, MD 20735-2555
Phone
(240) 377-6563
NPI assigned
Oct 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R197169 MD Primary

Addresses

Primary practice location

9135 Piscataway Rd Ste 420
Clinton, MD 20735-2555

Mailing address

9135 Piscataway Rd Ste 420
Clinton, MD 20735-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208000251 DC Practitioner - Nurse Practitioner 3274893458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508544000000",
    "number": "1568973113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 PISCATAWAY RD STE 420",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 PISCATAWAY RD STE 420",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352555",
            "telephone_number": "240-377-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHAYA",
        "first_name": "DORCAS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-21",
        "last_updated": "2017-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R197169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.