Obiri Yeboah, APRN AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

202110590NP-PP Issued in OR

Practice address

500 5TH St
Brookings, OR 97415-9702

Phone

(541) 412-2000

Fax

(541) 412-2081

NPI assigned

Oct 29, 2021

Sex

Male

Sole proprietor

No

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oyeboah3370019@oc.providencedirect.org

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.

• Curry Health District

  • Critical Access Hospital
  • Gold Beach, OR
  • NPI 1487696985
  Medicare reassignment NPD
• Curry Health District

  • Rural Health Clinic/Center
  • Gold Beach, OR
  • NPI 1770303968
  NPD
• Curry Health District

  • Rural Health Clinic/Center
  • Port Orford, OR
  • NPI 1811939093
  NPD (past)

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1619631215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6633",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150288",
            "telephone_number": "707-954-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 5TH ST",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159702",
            "telephone_number": "541-412-2000",
            "fax_number": "541-412-2081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17153 Parkview Dr # 6633",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "OR",
            "postal_code": "974159710",
            "country_code": "US",
            "telephone_number": "707-954-6068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEBOAH",
        "first_name": "OBIRI",
        "name_prefix": "Mr.",
        "credential": "APRN AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-29",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "202110590NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lynn Woodcock, P.T.A.
• Lacy Ann Woods, OTR/L
• Laura E Worman, PT
• Michael Worthey, PT
• Timothy L Yantis, PHARMACIST
• Holly W Yellowhammer
• Amy Lee Yoast
• Michele Youngblood
• Karl Joseph Zack
• Amy Zeller, PSS

• Primary Care Nurse Practitioner in Brookings, OR
• Providers in Brookings, OR by specialty
• Primary Care Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.