Yanira Leticia Pacheco, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005511 Issued in CA

Practice address

550 W Cypress Ave
Reedley, CA 93654-2096

Phone

(559) 637-2455

NPI assigned

Dec 16, 2016

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

Medicare fee-for-service enrollment

Enrolled in CA

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

State licenses

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1750825212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E JEFFERSON AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936549343",
            "telephone_number": "559-393-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W CYPRESS AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542096",
            "telephone_number": "559-637-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "YANIRA",
        "middle_name": "LETICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omni Family Health
• Omni Family Health
• Krisitn Lee Ortiz, RBT
• Eugene Dale Otto, DDS
• Outpatient and Specialty Center at Sierra Kings District Hospital
• Maria Elena Padron, LMFT
• Jonathan Park
• Megan Peck, PSY.D.
• Raymond J Pena, M.D.
• Elibett Perez, L.V.N.

• Family Nurse Practitioner in Reedley, CA
• Providers in Reedley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.