Individual provider Active NPI

Martha Yanda, RPA-C

  • Physician Assistant
  • Dansville, NY
National Provider Identifier
1598722001
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000970 Issued in NY
Practice address
60 Red Jacket St
Suite 1
Dansville, NY 14437-0339
Phone
(585) 335-6041
Fax
(585) 335-6764
NPI assigned
Apr 27, 2006
Last updated
Mar 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000970 NY Primary

Addresses

Primary practice location

60 Red Jacket St
Suite 1
Dansville, NY 14437-0339

Mailing address

PO Box 601
10869 Rte 36 South
Dansville, NY 14437-0601
Phone (585) 335-3416

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000970NYMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1598722001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601",
            "address_2": "10869 RTE 36 SOUTH",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144370601",
            "telephone_number": "585-335-3416",
            "fax_number": "585-335-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 RED JACKET ST",
            "address_2": "SUITE 1",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144370339",
            "telephone_number": "585-335-6041",
            "fax_number": "585-335-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANDA",
        "first_name": "MARTHA",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "000970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dansville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.