Individual provider Active NPI

Maryellen Fritz Yamamoto, RN

  • Student in an Organized Health Care Education/Training Program
  • Ocala, FL
National Provider Identifier
1639212459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
RN9234376 Issued in FL
Practice address
Marion County Health Deptartment
1801SE 32ND Avenue
Ocala, FL 34478
Phone
(352) 629-0137
Fax
(352) 694-4824
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RN9234376 FL Primary

Addresses

Primary practice location

Marion County Health Deptartment
1801SE 32ND Avenue
Ocala, FL 34478

Mailing address

9460 SW 9TH Ter
Ocala, FL 34476-8709
Phone (352) 629-0137

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9234376FLMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639212459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 SW 9TH TER",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344768709",
            "telephone_number": "352-629-0137",
            "fax_number": "352-629-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARION COUNTY HEALTH DEPTARTMENT",
            "address_2": "1801SE 32ND AVENUE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34478",
            "telephone_number": "352-629-0137",
            "fax_number": "352-694-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "MARYELLEN",
        "middle_name": "FRITZ",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "RN9234376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.