Active NPI
He Yu, NP
- Primary Care Nurse Practitioner
- Ukiah, CA
National Provider Identifier
1871833756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 95010796
- Practice address
- 630 Kings CT
Ukiah, CA 95482-5003 - Phone
- (707) 382-2818
- NPI assigned
- Feb 28, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 95010796 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | 95010796 | CA | Primary |
Addresses
Primary practice location
630 Kings CT
Ukiah, CA 95482-5003
Mailing address
1575 Glenwood Dr
Ukiah, CA 95482-5207
Phone (707) 828-1895
Other practice location 1
3841 Brickway Blvd
Santa Rosa, CA 95403-8226
Phone (707) 569-2369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | N/A |
Other names 1
- Helen Yu
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230322002456 | CA | Order and Referring Only - Nurse Practitioner | 7315264272 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1871833756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 GLENWOOD DR",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825207",
"telephone_number": "707-828-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 KINGS CT",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825003",
"telephone_number": "707-382-2818"
}
],
"practiceLocations": [
{
"address_1": "3841 Brickway Blvd",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954038226",
"country_code": "US",
"telephone_number": "707-569-2369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YU",
"first_name": "HE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-28",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "95010796",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95010796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "VA",
"affiliation": "N",
"address_1": "630 Kings Ct",
"city": "Ukiah",
"state": "CA",
"country_code": "US",
"postal_code": "954825003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HELEN",
"last_name": "YU",
"credential": "NP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.