Individual Healthcare Provider
Johannah Renee Yazzie, CPNP-PC
Provider's NPPES record last updated: October 18, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1164941621
- Primary Specialty
- Nurse Practitioner — Pediatrics
- Practice Location
- Santo Domingo Pueblo, New Mexico
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 4:13 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Pediatrics
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0200X
Provider-Reported License Information
- Nurse Practitioner (New Mexico)
- CNP-03377
Practice Locations
Practice Location
85 W Highway 22
Santo Domingo Pueblo, New Mexico 87052-1283
Phone: (505) 465-3060
Additional Practice Location
3630 Las Estancias Dr Sw
Albuquerque, New Mexico 87121-5504
Phone: (505) 555-5555
Record Information
- Enumeration Date
- September 15, 2017
- Provider's NPPES Record Last Updated
- October 18, 2024
- Certification Date
- October 16, 2024
- NPISignal NPPES Dataset
- August 2026
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