Active NPI
Suzanne Yost, F.N.P.
- Primary Care Nurse Practitioner
- Bandon, OR
National Provider Identifier
1982667218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP11037
- Practice address
- 110 10TH St SE
Bandon, OR 97411-9157 - Phone
- (541) 267-5151
- Fax
- (541) 267-2233
- NPI assigned
- Apr 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NP11037 | CA | Primary |
Addresses
Primary practice location
110 10TH St SE
Bandon, OR 97411-9157
Mailing address
1900 Woodland Dr
Coos Bay, OR 97420-2045
Phone (541) 267-5151
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407812365 | Other | OR | MEDICARE GROUP NPI NUMBER |
| CB3544 | Other | OR | RR MEDICARE GROUP NUMBER |
| 0577260001 | Other | OR | DMERC |
| 274383 | Medicaid | OR | |
| P00424728 | Other | OR | RR MEDICARE PTAN |
| R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP11037 | CA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1982667218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 WOODLAND DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202045",
"telephone_number": "541-267-5151",
"fax_number": "541-267-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 10TH ST SE",
"city": "BANDON",
"state": "OR",
"postal_code": "974119157",
"telephone_number": "541-267-5151",
"fax_number": "541-267-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOST",
"first_name": "SUZANNE",
"credential": "F.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-08",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "NP11037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NPI NUMBER",
"identifier": "1407812365",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP NUMBER",
"identifier": "CB3544",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0577260001",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274383",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "P00424728",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN NUMBER",
"identifier": "R0000WFBTV",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bandon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.