KAORU YAMANOUCHI (NPI# 1174830012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174830012 |
| Entity Type | Individual |
| Full Name | KAORU YAMANOUCHI |
| Credential | CRNP |
| Practice Address |
800 Whitley St Mobile AL 36610-3318 |
| Mailing Address |
Po Box 2867 Mobile AL 36652-2867 |
| Practice Telephone | 2514562276 |
| Practice Fax Number | 2514562205 |
| Mailing Telephone | 2516908894 |
| Mailing Fax Number | 2515442188 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-100606 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE GROUP NUMBER | 011846 | 01 |
| AL | NPI SITE GROUP PAYEE NUMBER | 1063439065 | 01 |
| AL | 630000013 | 05 |
| Street Address |
800 WHITLEY ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36610-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164446753 | Mobile County Board of Health | Clinic/Center | 800 Whitley St, Mobile, AL 36610-3318 | 2006-07-27 |
| 1336496421 | Amy Lynn Britton | Nurse Practitioner | 800 Whitley St, Mobile, AL 36610-3318 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366915977 | Jk Enterprise | Public Health or Welfare | 109 Clark Ave, Prichard, AL 36610 | 2019-01-07 |
| 1942303672 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 2280 Mlk Blvd, Mobile, AL 36610 | 2006-09-07 |
| 1013986785 | Franklin Primary Health Center, Inc. | General Practice | 1904 Bishop Ave, Mobile, AL 36610 | 2006-03-16 |
| 1780157065 | Jk Enterprise | Clinic/Center | 109 Clark Ave, Prichard, AL 36610 | 2019-01-09 |
| 1578523791 | Marion Louis Carroll | Internal Medicine | 424 S Wilson Ave, Prichard, AL 36610 | 2006-03-23 |
| 1023663044 | Brenda Powe Frazier | Technician | 308 Lucky Way, Prichard, AL 36610-2276 | 2019-08-06 |
| 1134219272 | Central Discount Drugs Inc | Pharmacy | 628 N Wilson Ave, Prichard, AL 36610-2316 | 2006-10-12 |
| 1932435575 | Helping Hands Health Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 627 Lane Ave, Prichard, AL 36610-2364 | 2009-11-01 |
| 1306443882 | Neverfails | Non-emergency Medical Transport (VAN) | 809 Criterion St, Mobile, AL 36610-3453 | 2020-10-07 |
| 1144298597 | Franklin Primary Health Center, Inc. | Family Medicine | 424 S Wilson Ave, Aiello-buskey Medical Center, Prichard, AL 36610-3910 | 2006-03-10 |
| Find all providers in zip 36610 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222145 | Robert Adam Vickrey | Nurse Practitioner | 1718 Hunters Ridge Dr W, Mobile, AL 36695-9246 | 2020-07-15 |
| 1588286850 | Brandie Nicole Banks | Nurse Practitioner | 320 Stanton Rd Apt 1517, Mobile, AL 36617-2481 | 2020-05-10 |
| 1215569249 | Lisa K. Morris | Nurse Practitioner | 5721 Usa Drive North Hahn 2044, Mobile, AL 36688-0001 | 2020-02-07 |
| 1679118525 | Hicks Home-based Primary Care, LLC | Nurse Practitioner | 1111 E I65 Service Rd S Ste 210, Mobile, AL 36606-3123 | 2019-11-14 |
| 1417504325 | Jamie Kathryn Turner | Nurse Practitioner | 13080 Oak Forge Dr, Mobile, AL 36608-8782 | 2019-08-25 |
| 1780142653 | Melissa Snow Bryan | Nurse Practitioner | 4937 Langham Pl, Mobile, AL 36619-5201 | 2019-03-08 |
| 1508322231 | Akiko Ishida Makino | Nurse Practitioner | 75 S University Blvd # 6000a, Mobile, AL 36608-3042 | 2019-02-19 |
| 1932674975 | Justin Blake Stokes | Nurse Practitioner | 2050 Michigan Ave., Mobile, AL 36615 | 2018-10-05 |
| 1821590647 | Charleen Jackson | Nurse Practitioner | 2423 Schillinger Rd S Ste 103, Mobile, AL 36695-4142 | 2018-03-07 |
| 1265949200 | Jennifer Jennings Davis | Nurse Practitioner | 2451 Fillingim Street Suite 10-i, Mobile, AL 36617-2293 | 2017-12-29 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.