Akossiwa Essi Yovogan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

112969 Issued in NE

Practice address

1750 W Broadway
Council Bluffs, IA 51501-3814

Phone

(712) 215-6588

Fax

(712) 322-9584

NPI assigned

Apr 28, 2020

Last updated

Apr 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• CRC Recovery, Inc.

  dba Council Bluffs Comprehensive Treatment Center

  • Methadone Clinic
  • Council Bluffs, IA
  • NPI 1326689076
  NPD
• Flexcare Solutions, LLC

  • Home Health Agency
  • Papillion, NE
  • NPI 1124439195
  NPD

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1750902052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 LAKEWOOD DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680468082",
            "telephone_number": "402-917-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013814",
            "telephone_number": "712-215-6588",
            "fax_number": "712-322-9584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2416 Lakewood Dr",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680468082",
            "country_code": "US",
            "telephone_number": "402-917-4372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOVOGAN",
        "first_name": "AKOSSIWA",
        "middle_name": "ESSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A158598",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Robyn Yarbrough, OTR/L
• You Matter Supportive Living LLC
• Lovely Young
• Marci Young
• Your Self-Care Therapy LLC
• Ys Services LLC
• Mohammed Zalabani, MBCHB
• Nicole Marie Zaloudek, PTA
• Juliette Dawn Zea
• Wendy Jane'E Zenor, LPN

• Family Nurse Practitioner in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.