JENNIE LI YANG
NPI 1053167809
Student in an Organized Health Care Education/Training Program in Tacoma, WA

Q: What is Jennie Yang's NPI number?

The NPI number for Jennie Yang is 1053167809. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Q: What is Jennie Yang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jennie Yang was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 24, 2024PECOS Enrolled

1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 441-4742 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Apr 24, 2024 (2 updates tracked since 2024).

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About Jennie Li Yang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIE LI YANG (NPI 1053167809) is an individual student in an organized health care education/training program in Tacoma, Washington, licensed in North Carolina (323736) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053167809

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJENNIE LI YANG

Location Address1202 MARTIN LUTHER KING JR WAYTacoma, WA 98405-3926

Mailing Address1202 Martin Luther King Jr WayTacoma, WA 98405-3926 · (253) 441-4742

Phone(253) 441-4742

Sole ProprietorNo

Enumeration DateApril 24, 2024

Last NPPES UpdateJune 4, 20252 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1053167809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NC · 323736

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1202 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennie Li Yang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOSOPE SODA MD

Student in an Organized Health Care Education/Training Program