Tina Yazzie

Primary specialty

OpticianTaxonomy code 156FX1800X

License

26-00006214 Issued in NM

Practice address

219 W Coal Ave
Gallup, NM 87301-6305

Phone

(505) 403-5494

NPI assigned

Sep 8, 2026

Last updated

Sep 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1952211534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W COAL AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016305",
            "telephone_number": "505-403-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W COAL AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016305",
            "telephone_number": "505-403-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZZIE",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NM",
            "license": "26-00006214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matai Yazzie
• Sharon Yazzie
• Shauna L Yazzie
• Shawna Yazzie
• Sue Ann Yazzie, RN
• Virginia Becenti Yazzie, CMS
• Stephanie Nicole Yellowhair, RN
• Catherine B Yeomans, RN
• Sheila Yoder, RN
• Darius S Yorichi, DO

• Optician in Gallup, NM
• Providers in Gallup, NM by specialty
• Optician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.