Individual provider Active NPI

Willie Lee Youmans Jr.

  • Registered Nurse
  • Washington, DC
National Provider Identifier
1699939389
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001163547 Issued in VA
Practice address
601 Edgewood St NE Apt 209
Washington, DC 20017-3316
Phone
(202) 276-6230
NPI assigned
Jul 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0000000NOT SURE DC
Registered Nurse 163W00000X R161391 MD
Registered Nurse 163W00000X 0001163547 VA Primary

Addresses

Primary practice location

601 Edgewood St NE Apt 209
Washington, DC 20017-3316

Mailing address

601 Edgewood St NE Apt 209
Washington, DC 20017-3316
Phone (202) 276-6230

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
0000000NOT SUREDCMDRegistered Nurse
R161391MDMDRegistered Nurse
0001163547VAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1699939389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EDGEWOOD ST NE APT 209",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173316",
            "telephone_number": "202-276-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EDGEWOOD ST NE APT 209",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173316",
            "telephone_number": "202-276-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUMANS",
        "first_name": "WILLIE",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "0000000NOT SURE",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R161391",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001163547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.