Organization Active NPI

Yumi Healthcare LLC

  • Multi-Specialty Clinic/Center
  • Kettering, OH
National Provider Identifier
1588284418
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
YUMI HEALTHCARE LLC
Practice address
3085 Woodman Dr Ste 205
Kettering, OH 45420-1171
Phone
(937) 681-4512
NPI assigned
Apr 21, 2020
Last updated
Apr 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Yvonne Yumiko Clark, PHD APRN CFNP
Title
Owner
Phone
(937) 681-4512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

3085 Woodman Dr Ste 205
Kettering, OH 45420-1171

Mailing address

322 Anniston Dr
Dayton, OH 45415-3002
Phone (937) 681-4512

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1588284418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 ANNISTON DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153002",
            "telephone_number": "937-681-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 205",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201171",
            "telephone_number": "937-681-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMI HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "YUMIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-681-4512",
        "authorized_official_credential": "PHD APRN CFNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.