Individual provider Active NPI

Yang He, RN, CDE

  • Diabetes Educator Registered Nurse
  • Sinajana, GU
National Provider Identifier
1942848957
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
RE2347 Issued in GU
Practice address
The Village, 736 Route 4, Suite 103
Sinajana, GU 96910-9691
Phone
(671) 649-7232
NPI assigned
Dec 20, 2019
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X RE2347 GU Primary

Addresses

Primary practice location

The Village, 736 Route 4, Suite 103
Sinajana, GU 96910-9691

Mailing address

The Village, 736 Route 4, Suite 103
Sinajana, GU 96910
Phone (671) 649-7232

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdehyhe@pacmedguam.com

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

LicenseStateTypeSpecialty
RE2347GUMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Med & Nephrology CurrentSince Dec 22, 2019 Accepting new patients
Advanced Eyecare, LLC PastSince Dec 22, 2019 Accepting new patients

Locations

736 Route 4
Ste 103
Sinajana, GU 96910
Phone (671) 649-7232

Interoperability endpoints

  • Direct secure messaging: cdehyhe@pacmedguam.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1942848957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE VILLAGE, 736 ROUTE 4, SUITE 103",
            "city": "SINAJANA",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-649-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE VILLAGE, 736 ROUTE 4, SUITE 103",
            "city": "SINAJANA",
            "state": "GU",
            "postal_code": "969109691",
            "telephone_number": "671-649-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "YANG",
        "credential": "RN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "GU",
            "license": "RE2347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdehyhe@pacmedguam.com",
            "affiliation": "N",
            "address_1": "The village, 736 Route 4, Suite 103",
            "city": "Sinajana",
            "state": "GU",
            "country_code": "US",
            "postal_code": "969109691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sinajana, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.