Active NPI
Tamara Lynn Yacobucci, D.O.
- Pediatrics Physician
- Hillsboro, OH
National Provider Identifier
1760836621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34.013741
- Practice address
- 1402 N High St
Hillsboro, OH 45133-8514 - Phone
- (937) 393-4899
- NPI assigned
- Apr 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34.013741 | OH | Primary |
Addresses
Primary practice location
1402 N High St
Hillsboro, OH 45133-8514
Mailing address
1402 N High St
Hillsboro, OH 45133-8514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Health Providers Corp | Current | Accepting new patients | |
| Highland Health Providers Corp | Current | Accepting new patients |
Locations
1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503
1487 N High St
Ste 102
Hillsboro, OH 45133
Phone (937) 393-3406
1402 N High St
Hillsboro, OH 45133
Phone (937) 393-4899
Interoperability endpoints
- tamarayacobucci@hhproviders.allscriptsdirect.net
- tyacobucci307716@direct.trihealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Hillsboro, OH
- NPI 1396702445
-
- Federally Qualified Health Center (FQHC)
- Winchester, OH
- NPI 1881277507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1760836621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 N HIGH ST",
"city": "HILLSBORO",
"state": "OH",
"postal_code": "451338514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 N HIGH ST",
"city": "HILLSBORO",
"state": "OH",
"postal_code": "451338514",
"telephone_number": "937-393-4899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACOBUCCI",
"first_name": "TAMARA",
"middle_name": "LYNN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "34.013741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.