Active NPI
Lady Yohanna Rau, FNP
- Family Medicine Physician
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4704306463
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841840303 | Medicaid | MI |
Other names 1
- Lady Yohanna Munoz-Toro
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5013335 | NC | MD | Internal Medicine Physician |
| 23217 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherry Street Services, Inc. | Family Medicine | Current | Accepting new patients |
| Hackley Community Care Center Inc | Family Medicine | Current | Accepting new patients |
| Hackley Community Care Center Inc | Current | Accepting new patients | |
| Cherry Street Services, Inc | Current | Accepting new patients | |
| Hackley Community Care Center, Inc | Current | Accepting new patients | |
| Cerebral Medical Group, a Professional Corporation | Family Medicine | Past | Accepting new patients |
| Cherry Street Health Services | Past | Accepting new patients | |
| Llibott Consultorios Medicos- WS,PLLC | Past | 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
- https://api.platform.athenahealth.com/11975/brand/1/csg/1/fhir/r4
- 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.
-
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1558459164
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1629066238
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Howard City, MI
- NPI 1831955251
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1255669818
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1427787621
-
- Case Management Agency
- Grand Rapids, MI
- NPI 1578979274
-
- Psychiatry Physician
- Glendale, CA
- NPI 1992355879
Family Medicine
-
- Primary Care Clinic/Center
- Winston Salem, NC
- NPI 1487030060
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.