Colin Yaddow, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

720704 Issued in NY

Practice address

290 Elwood Davis Rd
Liverpool, NY 13088-2100

Phone

(315) 280-0681

NPI assigned

Jul 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1689347825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 JAMES ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572183",
            "telephone_number": "315-415-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ELWOOD DAVIS RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882100",
            "telephone_number": "315-280-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADDOW",
        "first_name": "COLIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "720704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Worlock, LCSW, LPMFT, CASAC-T
• Andrea Wotan, RD
• Kristen Mari Wrigley, PHARMD
• Lauren Wuethrich
• Natalie Rose Wunder
• Laurie C Yehle, L.M.T
• Yost Corporation
• Dana Zaborowski, NP
• Kelli Marie Zaccarella, PA-C
• Michael Zaccaria, MSPT

• Registered Nurse in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.