Addisalem Yimenu

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R190260 Issued in MD

Practice address

9220 Springhill LN
Greenbelt, MD 20770-1203

Phone

(240) 624-2278

Fax

(240) 624-2279

NPI assigned

Oct 8, 2015

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Community Clinic, Inc

  • Community/Retail Pharmacy
  • Greenbelt, MD
  • NPI 1295560878
  NPD (past)
• Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Takoma Park, MD
  • NPI 1790730281
  NPD (past)

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1588035158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST STE 1204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103808",
            "telephone_number": "301-340-7525",
            "fax_number": "301-495-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 SPRINGHILL LN",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701203",
            "telephone_number": "240-624-2278",
            "fax_number": "240-624-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIMENU",
        "first_name": "ADDISALEM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R190260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyung Sun Yang
• Tracy Yang
• Haiying Ye, CRNP-FAMILY
• Donald Mbu Yelan
• Markos Yibas
• Stephanie Rosine Yomi
• Grace Yoon, D.D.S.
• Cedric Yopa
• Janae Nariko Yoshida, RD
• Danielle Young, LCSW-C

• Registered Nurse in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.