Active NPI
Yolanda Eugenia Klemmer, CNM
- Advanced Practice Midwife
- Washington, DC
National Provider Identifier
1750362463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN1018511
- Practice address
- 4130 Hunt PL NE
Washington, DC 20019-3565 - Phone
- (202) 388-8160
- Fax
- (202) 399-5419
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 72000108A | IN | |
| Advanced Practice Midwife | 367A00000X | RN1018511 | DC | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN1018511 | DC |
Addresses
Primary practice location
4130 Hunt PL NE
Washington, DC 20019-3565
Mailing address
1220 12TH St SE
Suite 120
Washington, DC 20003-3722
Phone (202) 715-6572
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200532070 | Medicaid | IN | |
| 024905300 | Medicaid | DC | |
| 091827 | Other | DC | MEDICARE |
Other names 1
- Yolanda Eugenia Gardner
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1018511 | DC | MD | Advanced Practice Midwife |
| 72000108A | IN | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1750362463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 12TH ST SE",
"address_2": "SUITE 120",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033722",
"telephone_number": "202-715-6572",
"fax_number": "202-544-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 HUNT PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193565",
"telephone_number": "202-388-8160",
"fax_number": "202-399-5419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMMER",
"first_name": "YOLANDA",
"middle_name": "EUGENIA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "72000108A",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "DC",
"license": "RN1018511",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "DC",
"license": "RN1018511",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200532070",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024905300",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "091827",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YOLANDA",
"last_name": "GARDNER",
"middle_name": "EUGENIA",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.