Yvette M Johnson LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.014010 Issued in IL

Legal business name

YVETTE M JOHNSON LLC

Practice address

1944 W 163Rd St
Markham, IL 60428-5647

Phone

(708) 785-7094

NPI assigned

Feb 19, 2017

Last updated

Feb 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yvette JohnsonNPI 1043608631

Title

Principal

Phone

(708) 785-7094

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yvette M. Johnson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Harvey, IL
  • NPI 1043608631
  Medicare reassignment Care Compare group NPD Authorized official
• Amanda Marie Rzany

  • Psychiatric/Mental Health Nurse Practitioner
  • Harvey, IL
  • NPI 1720792716
  Medicare reassignment Care Compare group NPD
• April Dolores Vanmilligan, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harvey, IL
  • NPI 1568289452
  Medicare reassignment Care Compare group NPD
• Danyatta Akindunbi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1902535156
  Medicare reassignment NPD
• Jasmin Skye Ford, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1952061780
  Medicare reassignment NPD

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

{
    "created_epoch": "1487462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487462400000",
    "number": "1922547298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 W 163RD ST",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604285647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 W 163RD ST",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604285647",
            "telephone_number": "708-785-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVETTE M JOHNSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-19",
        "last_updated": "2017-02-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "708-785-7094"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.014010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "209.014010",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Markham, IL
• Providers in Markham, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.