Individual provider Active NPI

Deddeh Kolu Yahntown, CRNP

  • Nurse Practitioner
  • Chester, PA
National Provider Identifier
1891551958
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
L8-0010788 Issued in DE
Practice address
1 Medical Center Blvd
Chester, PA 19013-3902
Phone
(610) 447-2000
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP029174 PA
Nurse Practitioner 363L00000X L8-0010788 DE Primary

Addresses

Primary practice location

1 Medical Center Blvd
Chester, PA 19013-3902

Mailing address

216 Sand Dollar LN
Frederica, DE 19946-2314
Phone (267) 315-0570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, CT, IA, VA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20240503002613 PA Practitioner - Nurse Practitioner 0941640163 Reassigns benefits to 4 organizations
I20250702000273 DE Practitioner - Nurse Practitioner 0941640163 Reassigns benefits to 2 organizations
I20260519003116 CT Practitioner - Nurse Practitioner 0941640163 Reassigns benefits to 1 organization
I20260604000423 IA Practitioner - Nurse Practitioner 0941640163 Reassigns benefits to 1 organization
I20260623002721 VA Practitioner - Nurse Practitioner 0941640163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapeutic Infusions IncGroup PAC ID 7517319155, 3 clinicians
Your North Wellness PLLCGroup PAC ID 4082062310, 3 clinicians
Supportive Care of Pennsylvania LLCGroup PAC ID 0143521211, 91 clinicians

Practice addresses (Care Compare)

1301 N Harrison St
Suite 102
Wilmington, DE 19806-3163
Phone (302) 268-3353

1432 Easton Rd
Warrington, PA 18976-2852
Phone (215) 220-4059

2109 Red Lion Rd
Philadelphia, PA 19115-1711
Phone (718) 298-4375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0010788DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Current Accepting new patients
Your North Wellness PLLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Supportive Care of Pennsylvania LLC CurrentSince Jul 15, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 23, 2025 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Therapeutic Infusions Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

1301 N Harrison St
Ste 102
Wilmington, DE 19806
Phone (302) 268-3353

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 407
Chester, PA 19013
Phone (610) 619-7413

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

1432 Easton Rd
Ste 4I
Warrington, PA 18976
Phone (215) 220-4059

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1891551958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SAND DOLLAR LN",
            "city": "FREDERICA",
            "state": "DE",
            "postal_code": "199462314",
            "telephone_number": "267-315-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHNTOWN",
        "first_name": "DEDDEH",
        "middle_name": "KOLU",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029174",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "L8-0010788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.