Individual provider Active NPI

Catherine Ann Yu, DNP, FNP-BC

  • Family Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1669604112
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP131048 Issued in ME
Practice address
170 Commerce Way Ste 103
Portsmouth, NH 03801
Phone
(207) 343-1701
Fax
(855) 628-4699
NPI assigned
Aug 18, 2009
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN241510 MA
Family Nurse Practitioner 363LF0000X 048111-23 NH
Family Nurse Practitioner 363LF0000X CNP131048 ME Primary

Addresses

Primary practice location

170 Commerce Way Ste 103
Portsmouth, NH 03801

Mailing address

170 Commerce Way Ste 103
Portsmouth, NH 03801-3272
Phone (207) 343-1701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091102000113 MA Practitioner - Nurse Practitioner 6406993914
I20140627001780 ME Practitioner - Nurse Practitioner 6406993914 Reassigns benefits to 1 organization
I20221230000325 VA Practitioner - Nurse Practitioner 6406993914 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP131048MEMDFamily Nurse Practitioner
048111-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthreach Community Health Centers CurrentSince Feb 1, 2021 Accepting new patients
Healthreach Community Health Centers CurrentSince Feb 1, 2021 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients
Michael P. Romanowsky Family Medicine Past Accepting new patients

Locations

25 Depot St
Kingfield, ME 04947
Phone (207) 237-2658

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1669604112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 COMMERCE WAY STE 103",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013272",
            "telephone_number": "207-343-1701",
            "fax_number": "855-628-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 COMMERCE WAY STE 103",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "207-343-1701",
            "fax_number": "855-628-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN241510",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "048111-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP131048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.