Johanna Rose Yurkow, DNP, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

RN299026L Issued in PA

Practice address

1930 S Broad St
Philadelphia, PA 19145-2328

Phone

(215) 339-4561

Fax

(215) 339-4523

NPI assigned

Jan 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1932470804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "215-339-4561",
            "fax_number": "215-339-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "215-339-4561",
            "fax_number": "215-339-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURKOW",
        "first_name": "JOHANNA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "DNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PA",
            "license": "RN299026L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PENNSYLVANIA",
            "identifier": "RN299026L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Gerontology Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.