Individual provider Active NPI

Yolanda H Nixon, CRNP

  • Acute Care Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1699053959
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP009786 Issued in PA
Practice address
3400 Civic Center Blvd
Suite East Pavilion 2ND Floor
Philadelphia, PA 19104-5127
Phone
(215) 456-7890
Fax
(215) 456-2482
NPI assigned
Aug 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP009786 PA Primary
Nurse Practitioner 363L00000X SP009786 PA

Addresses

Primary practice location

3400 Civic Center Blvd
Suite East Pavilion 2ND Floor
Philadelphia, PA 19104-5127

Mailing address

3400 Civic Center Blvd
Suite East Pavilion 2ND Floor
Philadelphia, PA 19104-5127
Phone (215) 456-7890

Other names 1

  • Yolanda Huertas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc CurrentSince Oct 29, 2011 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
University of Penn-Medical Group CurrentSince Jun 20, 2016 Accepting new patients
Einstein Practice Plan Inc CurrentSince Oct 29, 2011 Accepting new patients
University of Penn - Medical Group CurrentSince Jun 20, 2016 Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

3400 Civic Center Blvd
Ste 2E
Philadelphia, PA 19104
Phone (215) 615-0820

9880 Bustleton Ave
Ste 2
Philadelphia, PA 19115
Phone (215) 827-1500

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

5501 Old York Rd
Bldg 3RD
Philadelphia, PA 19141
Phone (215) 456-3930

1200 W Tabor Rd
Fl 3
Philadelphia, PA 19141
Phone (215) 456-3930

51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010

401 Township Line Rd
Ste A
Philadelphia, PA 19111
Phone (215) 663-1188

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

Organizations & group practices 6

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": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1699053959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "SUITE EAST PAVILION 2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-456-7890",
            "fax_number": "215-254-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "SUITE EAST PAVILION 2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-456-7890",
            "fax_number": "215-456-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "YOLANDA",
        "middle_name": "H",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP009786",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "HUERTAS",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.