Active NPI
Yaju Tsai, NP
- Nurse Practitioner
- Ann Arbor, MI
National Provider Identifier
1790128965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704339174
- Practice address
- 1500 East Medical Center Dr
3Rd Floor Taubman Center Recp a
Ann Arbor, MI 48109-5370 - Phone
- (734) 647-5900
- NPI assigned
- Apr 8, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 22640 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN001930 | NV | |
| Nurse Practitioner | 363L00000X | 4704339174 | MI | Primary |
Addresses
Primary practice location
1500 East Medical Center Dr
3Rd Floor Taubman Center Recp a
Ann Arbor, MI 48109-5370
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
975 Ryland St
Ste 100
Reno, NV 89502-1667
Phone (775) 982-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790128965 | Medicaid | NV | |
| 13590891 | Other | CAQH |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22640 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1790128965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DR",
"address_2": "3RD FLOOR TAUBMAN CENTER RECP A",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095370",
"telephone_number": "734-647-5900"
}
],
"practiceLocations": [
{
"address_1": "975 Ryland St",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895021667",
"country_code": "US",
"telephone_number": "775-982-5000",
"fax_number": "775-982-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSAI",
"first_name": "YAJU",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-08",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "22640",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NV",
"license": "APRN001930",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704339174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790128965",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13590891",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.