Individual provider Active NPI

Yujuan Yue

  • Acupuncturist
  • Greenwood, IN
National Provider Identifier
1962862433
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
84000177A Issued in IN
Practice address
918 Fry Rd
Suitea
Greenwood, IN 46142-1819
Phone
(317) 478-7216
Fax
(866) 371-1656
NPI assigned
Feb 26, 2016
Sex
Female
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
84000177AINMDAcupuncturist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 84000177A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

918 Fry Rd
Suitea
Greenwood, IN 46142-1819

Mailing address

3885 Shady Pointe Row
Greenwood, IN 46143-8478
Phone (317) 987-3839

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
A7449105AOtherINACUPUNCTURE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2016.

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1962862433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 SHADY POINTE ROW",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438478",
            "telephone_number": "317-987-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 FRY RD",
            "address_2": "SUITEA",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421819",
            "telephone_number": "317-478-7216",
            "fax_number": "866-371-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUE",
        "first_name": "YUJUAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "84000177A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "A7449105A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.