Active NPI
Stacie Nicole Yocom, CRNP
- Neonatal-Perinatal Medicine Physician
- Memphis, TN
National Provider Identifier
1801367537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 00000025083
- Practice address
- 853 Jefferson Ave Route E206
Memphis, TN 38163 - Phone
- (901) 448-6728
- NPI assigned
- Dec 6, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 00000025083 | TN | Primary |
Addresses
Primary practice location
853 Jefferson Ave Route E206
Memphis, TN 38163
Mailing address
141 Danforth Dr
Harvest, AL 35749-8589
Phone (256) 326-0145
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000025083 | TN | MD | Neonatal-Perinatal Medicine Physician |
Interoperability endpoints
- syocom33758@mlh.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1801367537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 DANFORTH DR",
"city": "HARVEST",
"state": "AL",
"postal_code": "357498589",
"telephone_number": "256-326-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 JEFFERSON AVE ROUTE E206",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38163",
"telephone_number": "901-448-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOCOM",
"first_name": "STACIE",
"middle_name": "NICOLE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TN",
"license": "00000025083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.