Organization Active NPI

David L. Yeager, MD

  • Obstetrics & Gynecology Nurse Practitioner
  • Putnam, CT
National Provider Identifier
1609928183
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
001409 Issued in CT
Legal business name
DAVID L. YEAGER, MD
Practice address
346 Pomfret St
Putnam, CT 06260-1871
Phone
(860) 928-0815
Fax
(860) 928-4514
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jeanne F. Bedard, APRN
Title
Nurse Practitioner
Phone
(860) 928-0815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LX0001X 001409 CT Primary

Addresses

Primary practice location

346 Pomfret St
Putnam, CT 06260-1871

Mailing address

346 Pomfret St
Putnam, CT 06260-1871
Phone (860) 928-0815

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609928183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601871",
            "telephone_number": "860-928-0815",
            "fax_number": "860-928-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601871",
            "telephone_number": "860-928-0815",
            "fax_number": "860-928-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. YEAGER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEDARD",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "860-928-0815",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CT",
            "license": "001409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.