Individual provider Active NPI

Marleen Yosef

  • Medical Physician Assistant
  • Antioch, TN
National Provider Identifier
1972110831
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
4071 Cane Ridge Pkwy Ste 208
Antioch, TN 37013-6042
Phone
(615) 669-2393
Fax
(866) 611-2777
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TN Primary

Addresses

Primary practice location

4071 Cane Ridge Pkwy Ste 208
Antioch, TN 37013-6042

Mailing address

6 Whitsett Rd
Nashville, TN 37210-5345
Phone (615) 609-3417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006002051 TN Practitioner - Physician Assistant 5991103855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4071 Cane Ridge Pkwy
Suite 208
Antioch, TN 37013-6042
Phone (615) 669-2393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4332TNMDOccupational Therapy Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEABDD/Endpoint/DEABDD

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": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1972110831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WHITSETT RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372105345",
            "telephone_number": "615-609-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 CANE RIDGE PKWY STE 208",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370136042",
            "telephone_number": "615-669-2393",
            "fax_number": "866-611-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSEF",
        "first_name": "MARLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

Verify at the official NPI Registry.