Active NPI
Jessica Nakaoka Yencheske, DPT
- Physical Therapist
- Marinette, WI
National Provider Identifier
1871960203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13235-24
- Practice address
- 3117 Shore Dr Ste 101
Marinette, WI 54143-4293 - Phone
- (715) 732-5111
- Fax
- (715) 732-0628
- NPI assigned
- Sep 2, 2015
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13235-24 | WI | Primary |
Addresses
Primary practice location
3117 Shore Dr Ste 101
Marinette, WI 54143-4293
Mailing address
3117 Shore Dr Ste 101
Marinette, WI 54143-4293
Other names 1
- Ms. Jessica Ann Nakaoka
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jyencheske155797@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13235-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1871960203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 SHORE DR STE 101",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541434293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 SHORE DR STE 101",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541434293",
"telephone_number": "715-732-5111",
"fax_number": "715-732-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YENCHESKE",
"first_name": "JESSICA",
"middle_name": "NAKAOKA",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13235-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jyencheske155797@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3117 Shore Dr Ste 101",
"city": "Marinette",
"state": "WI",
"country_code": "US",
"postal_code": "541434293",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3117 Shore Dr Ste 101",
"city": "Marinette",
"state": "WI",
"country_code": "US",
"postal_code": "541434293",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "NAKAOKA",
"middle_name": "ANN",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.