Yanique Ricie Nana Yakam Azah, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61097737 Issued in WA

Practice address

6811 S 204TH St Ste 280
Kent, WA 98032-1352

Phone

(888) 674-5871

Fax

(206) 694-2291

NPI assigned

Oct 19, 2020

Last updated

May 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Yanique Ricie N/a Nana Yakam Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bastion Health PC

  dba Crown Health

  • Family Medicine Physician
  • Tukwila, WA
  • NPI 1750921193
  Medicare reassignment NPD
• Adonai-Elohim Mental Health Care PLLC

  • Psychiatric/Mental Health Registered Nurse
  • Spokane, WA
  • NPI 1235089889
  NPD

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1700485919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 S 204TH ST STE 280",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321352",
            "telephone_number": "888-674-5871",
            "fax_number": "206-694-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 S 204TH ST STE 280",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321352",
            "telephone_number": "888-674-5871",
            "fax_number": "206-694-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKAM AZAH",
        "first_name": "YANIQUE RICIE",
        "middle_name": "NANA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61097737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANIQUE RICIE",
            "last_name": "NANA YAKAM",
            "middle_name": "N/A",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monique Wright
• Tsadkan Wubet, RN
• John B Wyss
• Davina Xaysanasongkham, L.M.P.
• Verona Xhixhi, PHARM.D
• Alla Yakobchuk, LMT
• Lyubov A. Yakubets, LMP
• Brandon Tomi Yamamura, D.D.S., M.S.D.
• Peter Mori Yamamura, D.D.S., M.S.D.
• Audrey M. Yan, RN, L.M.P., IBCLC

• Family Nurse Practitioner in Kent, WA
• Providers in Kent, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.