Yellow Coriander PSC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0390 Issued in MN

Legal business name

YELLOW CORIANDER PSC

Practice address

721 Quincy St NE
Minneapolis, MN 55413-2317

Phone

(888) 592-6117

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Jessica Fashant-Peterson, APN

Title

Ceo

Phone

(888) 592-6117

Specialties & licenses 1

Addresses

Tax ID family

Yellow Coriander PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yellow Coriander, PSC

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1275073181
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Marie Estrada, MSN

  • Pediatric Nurse Practitioner
  • Coon Rapids, MN
  • NPI 1881828358
  NPD (past)

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1841667672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 QUINCY ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 QUINCY ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132317",
            "telephone_number": "888-592-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW CORIANDER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "FASHANT-PETERSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-592-6117",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "0390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn A Yechout, LADC
• Leah Yedge
• Douglas Yee, M.D.
• Anudeep Yekula, MBBS
• Yana Yelagin
• Yellow Coriander, PSC
• Yellow Wallpaper Therapy LLC
• Daniel Conrad Yenter
• Brad Patrick Yentzer, RD
• Mohammednur Kemer Yesuf, PHARMD, MPH

• Family Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.