Individual provider Active NPI

Yvette Renee Pigman, APN

  • Nurse Practitioner
  • Normal, IL
National Provider Identifier
1679920375
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209012024 Issued in IL
Practice address
201 North University
Illinois State Studnet Health Services,
Normal, IL 61790
Phone
(309) 438-8655
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209012024 IL Primary

Addresses

Primary practice location

201 North University
Illinois State Studnet Health Services,
Normal, IL 61790

Mailing address

201 N University St
Normal, IL 61790-2450
Phone (309) 438-8655

Other names 1

  • Yvette Parks Former name

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
209012024ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois State University PastSince Mar 28, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1679920375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617902450",
            "telephone_number": "309-438-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NORTH UNIVERSITY",
            "address_2": "ILLINOIS STATE STUDNET HEALTH SERVICES,",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61790",
            "telephone_number": "309-438-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGMAN",
        "first_name": "YVETTE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVETTE",
            "last_name": "PARKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.