Individual provider Active NPI

Yuri E Resuma, LPN

  • Licensed Practical Nurse
  • Tamuning, GU
National Provider Identifier
1669017869
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LX0614 Issued in GU
Practice address
396 Chalan San Antonio Bri BLDG.
Suite 102
Tamuning, GU 96913-5663
Phone
(671) 649-6877
Fax
(671) 647-1606
NPI assigned
Nov 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LX0614 GU Primary

Addresses

Primary practice location

396 Chalan San Antonio Bri BLDG.
Suite 102
Tamuning, GU 96913-5663

Mailing address

PO Box 9663
Tamuning, GU 96931-5663
Phone (671) 649-6877

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

State licenses

LicenseStateTypeSpecialty
LX0614GUMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1669017869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9663",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969315663",
            "telephone_number": "671-649-6877",
            "fax_number": "671-647-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 CHALAN SAN ANTONIO BRI BLDG.",
            "address_2": "SUITE 102",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969135663",
            "telephone_number": "671-649-6877",
            "fax_number": "671-647-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESUMA",
        "first_name": "YURI",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GU",
            "license": "LX0614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

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