Individual provider Active NPI

Bonnie Ann Yopp, ANP

  • Adult Health Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1881802064
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F-301509-1 Issued in NY
Practice address
450 Salmon River Rd
Plattsburgh, NY 12901-7631
Phone
(518) 563-7129
Fax
(518) 561-2849
NPI assigned
May 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F-301509-1 NY Primary

Addresses

Primary practice location

450 Salmon River Rd
Plattsburgh, NY 12901-7631

Mailing address

450 Salmon River Rd
Plattsburgh, NY 12901-7631
Phone (518) 563-7129

Other identifiers 2

IdentifierTypeStateIssuer
141603303OtherTRICARE
500021522OtherGBA RAILROAD PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160218000048 NY Order and Referring Only - Nurse Practitioner 0547565277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F-301509-1NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881802064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SALMON RIVER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017631",
            "telephone_number": "518-563-7129",
            "fax_number": "518-561-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SALMON RIVER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017631",
            "telephone_number": "518-563-7129",
            "fax_number": "518-561-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOPP",
        "first_name": "BONNIE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F-301509-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "141603303",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GBA RAILROAD PROVIDER",
            "identifier": "500021522",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.