VIVIENNE YAKUM (NPI# 1215151352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215151352 |
| Entity Type | Individual |
| Full Name | VIVIENNE YAKUM |
| Other Name | VIVIENNE AKUM |
| Credential | PA-C |
| Practice Address |
200 Varick St New York NY 10014-4810 |
| Mailing Address |
9 North Dr Livingston NJ 07039-3508 |
| Practice Telephone | 2126200340 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
005268 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 005268 | 05 |
| Street Address |
200 VARICK ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10014-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598770018 | Project Renewal Inc | Clinic/Center | 200 Varick St, New York, NY 10014-4810 | 2006-07-31 |
| 1629485578 | Melissa O'brien | Nurse Practitioner | 200 Varick St, 9th Floor, New York, NY 10014-4810 | 2014-07-11 |
| 1740540863 | Audrey J Tyler | Nurse Practitioner | 200 Varick St, New York, NY 10014-4810 | 2012-05-23 |
| 1962773499 | Alexandria Leigh Dougherty | Nurse Practitioner | 200 Varick St, 9th Floor, New York, NY 10014-4810 | 2012-01-13 |
| 1982974440 | Project Renewal | Point of Service | 200 Varick St, New York, NY 10014-4810 | 2011-12-30 |
| 1275813404 | Ann Marie Grogan | Registered Nurse | 200 Varick St, Project Renewal, New York, NY 10014-4810 | 2011-08-19 |
| 1861704314 | Michele L Tyler | Nurse Practitioner | 200 Varick St, 9th Floor, New York, NY 10014-4810 | 2010-07-12 |
| 1548423577 | Shawn Michael Allen | Psychiatry & Neurology | 200 Varick St, Project Renewal - 9th Floor, New York, NY 10014-4810 | 2008-07-09 |
| 1780855684 | Mark Robert Schufman | Dentist | 200 Varick St, 9th Floor, New York, NY 10014-4810 | 2008-03-18 |
| 1821286055 | Roslynn S Glicksman | Internal Medicine | 200 Varick St, New York, NY 10014-4810 | 2007-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142446 | Marco A Campello | Physical Therapist | 63 Downing Street, New York, NY 10014 | 2020-01-02 |
| 1093271710 | Little Smiles Pediatric Dentistry, Pllc | Dentist | 535 Hudson Street 1c, Apt #3g, New York, NY 10014 | 2019-02-19 |
| 1528539525 | David R Schoenberger | Psychoanalyst | 27 West 12th Street, Apt 1-c, New York, NY 10014 | 2018-12-17 |
| 1932670270 | Paul Scoles | Orthopaedic Surgery | 27o W 11th, 6f, New York, NY 10014 | 2018-12-16 |
| 1831633965 | Carol Bonhomme | Speech-Language Pathologist | 250 West Houston Street, 721m, New York, NY 10014 | 2016-12-08 |
| 1346783016 | Dawn Julie Adamousky | Speech-Language Pathologist | 450 Hudson Street, New York, NY 10014 | 2016-11-29 |
| 1578922472 | Samriti Goyal | Dentist | 44 Perry St Apt 5r, New York, NY 10014 | 2016-02-19 |
| 1255734471 | Chavie E Lichtenberg | Counselor | 165 Christopher St Apt 4n, New York, NY 10014 | 2014-10-01 |
| 1699015180 | Meghan C Ward | Counselor | 27 Christopher Street, New York, NY 10014 | 2013-02-21 |
| 1730467739 | Rosy Charles | Licensed Practical Nurse | 201 Varick Street, New York, NY 10014 | 2011-07-26 |
| Find all providers in zip 10014 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1861041840 | Gabriella Fluss | Physician Assistant | 268 W 84th St Apt 6c, New York, NY 10024-4362 | 2019-09-11 |
| 1659929123 | Jacob Mark Czajka | Physician Assistant | 130 E 77th St Fl Hall11, New York, NY 10075-1851 | 2019-08-28 |
| 1033766860 | Deena Rothman | Physician Assistant | 1090 Amsterdam Ave Ste 10a, New York, NY 10025-1737 | 2019-08-26 |
| 1730698747 | Nolle L Graham | Physician Assistant | East 101 Street, New York, NY 10029 | 2017-09-21 |
| 1629594494 | Emma Ungureanu | Physician Assistant | 1790 Broadway/ 5 Columbus Circle, Fl 8, New York, NY 10019-1412 | 2017-08-14 |
| 1881117141 | Kaitlin Anne Tergesen | Physician Assistant | 3959 Broadway # Chn216, New York, NY 10032-1559 | 2017-07-19 |
| 1356879217 | Andreina Armas | Physician Assistant | E 101st Street, Mount Sinai, New York, NY 10029 | 2017-05-23 |
| 1093189870 | Amanda Londino | Physician Assistant | 568 Park Avenue, New York, NY 10068 | 2015-11-17 |
| 1437521549 | Heather Sorrentino | Physician Assistant | 105 Haven Ave Apt 3d, New York, NY 10032-2708 | 2015-10-28 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on VIVIENNE YAKUM.
| 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.