Individual provider Active NPI

Melanie J. Yanke, CNM, CPNP-PC, IBCLC

  • Advanced Practice Midwife
  • Albuquerque, NM
National Provider Identifier
1629225545
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
577 Issued in NM
Practice address
2720 Charleston St NE
Albuquerque, NM 87110-3608
Phone
(505) 818-8040
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 68418 NM
Pediatric Nurse Practitioner 363LP0200X 68418 NM
Advanced Practice Midwife 367A00000X 577 NM Primary

Addresses

Primary practice location

2720 Charleston St NE
Albuquerque, NM 87110-3608

Mailing address

2720 Charleston St NE
Albuquerque, NM 87110-3608
Phone (505) 818-8040

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
68418NMMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Birth Abq LLC Lactation Consultant CurrentSince Aug 7, 2022 Accepting new patients
Dar a Luz Birth & Health Center Past Accepting new patients
Dar a Luz Birth & Health Center Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1629225545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 CHARLESTON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103608",
            "telephone_number": "505-818-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 CHARLESTON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103608",
            "telephone_number": "505-818-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKE",
        "first_name": "MELANIE",
        "middle_name": "J.",
        "credential": "CNM, CPNP-PC, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NM",
            "license": "68418",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NM",
            "license": "68418",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.