Individual provider Active NPI

Lady Yohanna Rau, FNP

  • Family Medicine Physician
  • Muskegon, MI
National Provider Identifier
1841840303
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4704306463 Issued in MI
Practice address
1550 Clinton St
Muskegon, MI 49442-5007
Phone
(231) 737-1335
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5013335 NC
Family Nurse Practitioner 363LF0000X 23217 SC
Family Medicine Physician 207Q00000X 4704306463 MI Primary

Addresses

Primary practice location

1550 Clinton St
Muskegon, MI 49442-5007

Mailing address

2700 Baker St FL 3
Muskegon, MI 49444-2157
Phone (231) 737-1335

Other practice location 1

501 E Broad St
Wrens, GA 30833-1185
Phone (706) 547-2559

Other practice location 2

110 N Corcoran St Ofc 5-157
Durham, NC 27701-5015
Phone (415) 617-9894

Other practice location 3

2700 Baker St Fl 3
Muskegon, MI 49444-2157
Phone (231) 737-1335

Other identifiers 1

IdentifierTypeStateIssuer
1841840303MedicaidMI

Other names 1

  • Lady Yohanna Munoz-Toro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831000930 MI Practitioner - Nurse Practitioner 7113301706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherry Street Services IncGroup PAC ID 6800707647, 58 clinicians

Practice addresses (Care Compare)

100 Cherry St SE
Grand Rapids, MI 49503-4526

550 Cherry St SE
Grand Rapids, MI 49503-4748
Phone (616) 235-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5013335NCMDInternal Medicine Physician
23217SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Street Services, Inc. Family Medicine CurrentSince Jan 28, 2026 Accepting new patients
Hackley Community Care Center Inc Family Medicine CurrentSince May 16, 2022 Accepting new patients
Hackley Community Care Center Inc Current Accepting new patients
Cherry Street Services, Inc CurrentSince Jan 28, 2026 Accepting new patients
Hackley Community Care Center, Inc CurrentSince May 16, 2022 Accepting new patients
Cerebral Medical Group, a Professional Corporation Family Medicine PastSince Mar 1, 2022 Accepting new patients
Cherry Street Health Services Past Accepting new patients
Llibott Consultorios Medicos- WS,PLLC PastSince Dec 1, 2020 Accepting new patients

Locations

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209

1550 Clinton St
Muskegon, MI 49442
Phone (231) 733-6910

2700 Baker St
Fl 3
Muskegon Heights, MI 49444
Phone (231) 733-6607

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11975/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ladyrau@hccc.allscriptsdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1841840303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BAKER ST FL 3",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442157",
            "telephone_number": "231-737-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 CLINTON ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425007",
            "telephone_number": "231-737-1335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Wrens",
            "state": "GA",
            "postal_code": "308331185",
            "country_code": "US",
            "telephone_number": "706-547-2559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 N Corcoran St Ofc 5-157",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277015015",
            "country_code": "US",
            "telephone_number": "415-617-9894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Baker St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494442157",
            "country_code": "US",
            "telephone_number": "231-737-1335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAU",
        "first_name": "LADY",
        "middle_name": "YOHANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "5013335",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23217",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4704306463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841840303",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LADY",
            "last_name": "MUNOZ-TORO",
            "middle_name": "YOHANNA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.