Yazdi Primary Healthcare PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60308453 Issued in WA

Legal business name

YAZDI PRIMARY HEALTHCARE PLLC

Practice address

4901 108TH St SW
Lakewood, WA 98499-3724

Phone

(253) 589-6484

Fax

(253) 984-1079

NPI assigned

Jan 31, 2014

Last updated

Oct 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maryam Mostaghni Yazdi, ARNPNPI 1619224771

Title

Member

Phone

(360) 981-9705

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maryam Mostaghni Yazdi, ARNP

  • Family Nurse Practitioner
  • Lakewood, WA
  • NPI 1619224771
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1629491360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98886",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984968886",
            "telephone_number": "253-589-6484",
            "fax_number": "253-984-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 108TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993724",
            "telephone_number": "253-589-6484",
            "fax_number": "253-984-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAZDI PRIMARY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "MOSTAGHNI YAZDI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-981-9705",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60308453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Montano Yamat, M.D.
• Nellie Yang
• Tsujung Yang
• Barney Aaron Yanklowitz, DPM
• Brooklyn Yates-Young
• Sang Hae Ye, D.C.
• Philip R Yearian, DPM
• Anita Marie Yearley, MD
• Karen Yee-Lo, D.M.D.
• Justin Yee, PHARMD

• Family Nurse Practitioner in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.