Active NPI
Deborah Marie Yeary, R.N.
- Gerontology Nurse Practitioner
- Ann Arbor, MI
National Provider Identifier
1891055448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4704199503
- Practice address
- 865 Starwick Dr
Ann Arbor, MI 48105-1285 - Phone
- (734) 276-8885
- NPI assigned
- May 16, 2012
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704199503 | MI | Primary |
Addresses
Primary practice location
865 Starwick Dr
Ann Arbor, MI 48105-1285
Mailing address
865 Starwick Dr
Ann Arbor, MI 48105-1285
Phone (734) 276-8885
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704199503 | MI | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447459200000",
"number": "1891055448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 STARWICK DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051285",
"telephone_number": "734-276-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 STARWICK DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051285",
"telephone_number": "734-276-8885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEARY",
"first_name": "DEBORAH",
"middle_name": "MARIE",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2015-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704199503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.