DECOYA YAHTES BLUE NPI 1770365397

NPI Information

  • NPI: 1770365397
  • Provider Name: DECOYA YAHTES BLUE
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 66 LAKE CONCORD RD NE
    CONCORD, NC
    ZIP 28025
  • Phone: (704) 403-7720

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NPI Details

Decoya Yahtes Blue is a pediatrics nurse practitioner in Concord, NC. Decoya Yahtes Blue NPI is 1770365397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

66 LAKE CONCORD RD NE
CONCORD, NC
ZIP 28025-057
Phone: (704) 403-7720

The enumeration date for this NPI number is 10/18/2023 and was last updated on 7/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics5019014NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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