Active NPI
Rebecca Danvers Yuan, NNP-BC, APNP
- Neonatal Nurse Practitioner
- Wauwatosa, WI
National Provider Identifier
1821398256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 3834033
- Practice address
- 9000 W Wisconsin Ave
Wauwatosa, WI 53226-4874 - Phone
- (414) 266-2950
- NPI assigned
- Nov 2, 2010
- Last updated
- Dec 7, 2010
- 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 Nurse Practitioner | 363LN0000X | 3834033 | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave
Wauwatosa, WI 53226-4874
Mailing address
10428 N Pine Ridge Dr
Mequon, WI 53092-6414
Phone (310) 995-7642
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 |
|---|---|---|---|
| 3834033 | WI | MD | Neonatal Nurse Practitioner |
Organizations & group practices 1
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.
-
- Children's Hospital
- Gig Harbor, WA
- NPI 1477876449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1821398256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10428 N PINE RIDGE DR",
"city": "MEQUON",
"state": "WI",
"postal_code": "530926414",
"telephone_number": "310-995-7642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUAN",
"first_name": "REBECCA",
"middle_name": "DANVERS",
"credential": "NNP-BC, APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "WI",
"license": "3834033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.