Mark David Yoder, LPN

Primary specialty

Religious Nonmedical Nursing PersonnelTaxonomy code 374T00000X

License

PN-258838 Issued in PA

Practice address

1 Avondale Dr
Wyomissing, PA 19610-2684

Phone

(650) 307-0959

NPI assigned

Jun 1, 2008

Last updated

Jun 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212278400000",
    "number": "1619135068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AVONDALE DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102684",
            "telephone_number": "650-307-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVONDALE DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102684",
            "telephone_number": "650-307-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-01",
        "last_updated": "2008-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": "PA",
            "license": "PN-258838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Religious Nonmedical Nursing Personnel in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Religious Nonmedical Nursing Personnel in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; 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.