Individual provider Active NPI

Yvonne Emily Jackson, FNP

  • Nurse Practitioner
  • Yuba City, CA
National Provider Identifier
1689660318
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN217802 Issued in CA
Practice address
1445 Veterans Memorial Circle
Sutter County Health Dept Clinic
Yuba City, CA 95993
Phone
(530) 822-7240
Fax
(530) 822-7105
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 RN217802 CA Primary

Addresses

Primary practice location

1445 Veterans Memorial Circle
Sutter County Health Dept Clinic
Yuba City, CA 95993

Mailing address

2145 5TH Ave
Oroville, CA 95965-5870
Phone (530) 534-5394

Other identifiers 2

IdentifierTypeStateIssuer
RN217802OtherLICENSE
4782OtherNPF

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4782CAMDPsychiatry Physician
RN217802CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sutter 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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689660318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 5TH AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655870",
            "telephone_number": "530-534-5394",
            "fax_number": "530-534-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 VETERANS MEMORIAL CIRCLE",
            "address_2": "SUTTER COUNTY HEALTH DEPT CLINIC",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95993",
            "telephone_number": "530-822-7240",
            "fax_number": "530-822-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "YVONNE",
        "middle_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN217802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN217802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPF",
            "identifier": "4782",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.