NPIMap

Individual provider Active NPI

Roseanne Evans Yurick, OTR/L

  • Pediatric Occupational Therapist
  • Bellevue, WA
National Provider Identifier
1942594064
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 60056196 Issued in WA
Practice address
2445 140TH Ave NE
Suite B105
Bellevue, WA 98005-1879
Phone
(425) 644-6328
Fax
(425) 644-6295
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT 60056196 WA Primary

Addresses

Primary practice location

2445 140TH Ave NE
Suite B105
Bellevue, WA 98005-1879

Mailing address

4312 Whitman Ave N
Seattle, WA 98103-7325
Phone (585) 944-7251

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 60056196WAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Rehabilitation Inc. Past Accepting new patients
Mosaic Rehabilitation, Inc Past Accepting new patients

Organizations & group practices 2

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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1942594064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 WHITMAN AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037325",
            "telephone_number": "585-944-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 140TH AVE NE",
            "address_2": "SUITE B105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051879",
            "telephone_number": "425-644-6328",
            "fax_number": "425-644-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURICK",
        "first_name": "ROSEANNE",
        "middle_name": "EVANS",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT 60056196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.