Individual provider Active NPI

Monica Yineman, IDC

  • Independent Duty Corpsman
  • Silverdale, WA
National Provider Identifier
1649830779
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
9812 Enchantment Ave NW
Silverdale, WA 98383-8822
Phone
(360) 850-8506
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

9812 Enchantment Ave NW
Silverdale, WA 98383-8822

Mailing address

9812 Enchantment Ave NW
Silverdale, WA 98383-8822
Phone (360) 850-8506

Other names 1

  • Monica Martinezsanchez Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL OTHER Other

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

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1649830779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9812 ENCHANTMENT AVE NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838822",
            "telephone_number": "360-850-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9812 ENCHANTMENT AVE NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838822",
            "telephone_number": "360-850-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YINEMAN",
        "first_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OTHER",
            "affiliation": "N",
            "endpointDescription": "OTHER",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "OTHER",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "9812 Enchantment Ave NW",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983838822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "MARTINEZSANCHEZ",
            "credential": "IDC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.