Provider Demographics
NPI:1164694378
Name:THOMPSON-MARTIN, YOLANDA R (DNP, RN, ANP-C)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:R
Last Name:THOMPSON-MARTIN
Suffix:
Gender:F
Credentials:DNP, RN, ANP-C
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Mailing Address - Street 1:2310 HOLMES ST
Mailing Address - Street 2:STE 800
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6530 TROOST AVE
Practice Address - Street 2:SUITE A
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131
Practice Address - Country:US
Practice Address - Phone:816-361-0670
Practice Address - Fax:816-444-6936
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2020-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO154609363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1297719Medicare PIN
MO129F398Medicare PIN
MO1297160Medicare PIN
MO129D207Medicare PIN
MO1294377Medicare PIN
MO1295391Medicare PIN