Tetsuo Yamanaka, MS, ATC, PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2285 Issued in NC

Practice address

4600 Trinity Rd
Raleigh, NC 27607-3924

Phone

(919) 513-7536

NPI assigned

May 14, 2012

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

Master of Science

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1710246517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 QUIET MILL RD",
            "address_2": "APT. A3",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124305",
            "telephone_number": "205-239-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 TRINITY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073924",
            "telephone_number": "919-513-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMANAKA",
        "first_name": "TETSUO",
        "credential": "MS, ATC, PES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "2285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Yackley, DC
• John V Yacono, M.D.
• Shannon Murphy Yahyapour, NP-C
• Melissa S Yalango, PA
• Asghar Yamadi, M.D.
• George Stancil Yancey, LCSW
• Cyndell Yang
• Emmy Zhou Yang, MD, MTS
• Ke Yang, NP
• Korenna Yang

• Athletic Trainer in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.