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LUIS FERNANDO YCAZA JR. DO
NPI 1083554802
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since March 31, 2026
325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 439-7280 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luis Fernando Ycaza Jr. Do NPPES

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

LUIS FERNANDO YCAZA JR. DO (NPI 1083554802) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1083554802
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUIS FERNANDO YCAZA JR.Credential: DO
Location Address325 N STATE OF FRANKLIN RDJohnson City, TN 37604-6056
Mailing Address325 N State Of Franklin RdJohnson City, TN 37604-6056 · (423) 439-7280
Phone(423) 439-7280
Sole ProprietorNo
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1083554802 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
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.
325 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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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.

SAMANTHA BOOKBINDER MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (845) 269-1362
DEBORAH ANN THIBEAULT LCSW
Social Worker (Clinical)
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
LEAH ALEXANDRA SURBAUGH PHARMD
Pharmacist (Psychiatric)
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7280
DR. ARMAAN WASIF AHMED MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7280
VARSHINI NARMADA RAMASAMY BALASUBRAMANIAN MBBS
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
HASAN DAHER MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7280
ANGELA G WILLOCKS NP
Nurse Practitioner (Family)
325 N STATE OF FRANKLIN RD, GROUND FLOOR
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
JOHN WILLIAM SCHWEITZER M.D.
Pediatrics
325 N STATE OF FRANKLIN RD, GROUND FLOOR
JOHNSON CITY, TN 37604
Washington County (423) 439-7320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Ycaza's NPI number?

The NPI number for Luis Ycaza is 1083554802. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Luis Ycaza located?

Luis Ycaza practices at 325 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 439-7280.

What is Luis Ycaza's specialty?

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

When was this NPI record last updated?

The NPPES record for Luis Ycaza was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.