Nicole Marie Yassine, L.OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

OM000240 Issued in PA

Practice address

2308 Grays Ferry Ave
Philadelphia, PA 19146-1177

Phone

(215) 772-0770

NPI assigned

Jul 31, 2019

Sex

Female

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

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.

• Six Fishes Acupuncture

  • Acupuncturist
  • Philadelphia, PA
  • NPI 1275081648
  NPD

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1619521218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 RIDGE AVE # C-2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301538",
            "telephone_number": "860-995-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 GRAYS FERRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461177",
            "telephone_number": "215-772-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSINE",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "L.OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Yaros, D.P.M.
• Samira Yasin, MD
• Abdullatif Yasir H Eissa, M.D.
• Yasmenda Justice & Peer Support Services LLC
• Christen Joesell Yassin
• Sara Kamara Yassky, MSS, LSW
• Mina Yasuoka, CRNP
• Alana B Yates
• Franklin Yates, M.D.
• Lynne C. Yates, CRNP

• Acupuncturist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.