Individual provider Active NPI

Yomba Yokwan

  • Licensed Practical Nurse
  • Silver Spring, MD
National Provider Identifier
1679977268
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN1006701 Issued in DC
Practice address
13908 Castle Blvd
Apt. 303
Silver Spring, MD 20904-4945
Phone
(240) 551-3036
NPI assigned
Oct 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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 LPN1006701 DC Primary

Addresses

Primary practice location

13908 Castle Blvd
Apt. 303
Silver Spring, MD 20904-4945

Mailing address

13908 Castle Blvd
Apt. 303
Silver Spring, MD 20904-4945
Phone (240) 551-3036

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
LPN1006701DCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Global Health Care Past 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": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1679977268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13908 CASTLE BLVD",
            "address_2": "APT. 303",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044945",
            "telephone_number": "240-551-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13908 CASTLE BLVD",
            "address_2": "APT. 303",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044945",
            "telephone_number": "240-551-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOKWAN",
        "first_name": "YOMBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1006701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.