1447237649 NPI number — MR. DAVID WARREN YANCEY APRN

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447237649 NPI number — MR. DAVID WARREN YANCEY APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YANCEY
Provider First Name:
DAVID
Provider Middle Name:
WARREN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447237649
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10161 US HWY 70 EAST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MC EWEN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37101-4442
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
931-582-3170
Provider Business Mailing Address Fax Number:
931-582-3178

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10161 US HWY 70 EAST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCEWEN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-582-3170
Provider Business Practice Location Address Fax Number:
931-582-3178
Provider Enumeration Date:
12/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APN 6666 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4118867 . This is a "BLUE CROSS BLUE SHIELD PIN" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 3344296 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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