Individual Healthcare Provider
Carol Yacula, NURSE PRACTITIONER
Provider's NPPES record last updated: January 19, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1336691815
- Primary Specialty
- Nurse Practitioner
- Practice Location
- Rehoboth Beach, Delaware
- 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, 9:48 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
Physician Assistants & Advanced Practice Nursing Providers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000X Nurse Practitioner
Gerontology
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LG0600XNurse Practitioner
Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2200X
Provider-Reported License Information
- Nurse Practitioner (Delaware)
- LP-0010758
- Nurse Practitioner (Oregon)
- 10019605
- Nurse Practitioner (Missouri)
- 2016017862
Practice Locations
Practice Location
18947 John J Williams Hwy Unit 101
Rehoboth Beach, Delaware 19971-4480
Phone: (302) 645-3770
Additional Practice Location
6420 Clayton Rd
Clayton, Missouri 63117-1811
Phone: (314) 645-3370
Additional Practice Location
3303 S Bond Ave
Portland, Oregon 97239-4501
Phone: (503) 494-6594
Fax: (503) 494-5385
Additional Practice Location
1011 Bowles Ave Ste G50
Fenton, Missouri 63026-0562
Phone: (636) 496-4640
Additional Practice Location
32750 Roxana Rd
Millville, Delaware 19967-6980
Phone: (302) 645-3770
Fax: (302) 645-5718
Record Information
- Enumeration Date
- October 31, 2016
- Provider's NPPES Record Last Updated
- January 19, 2026
- Certification Date
- January 19, 2026
- NPISignal NPPES Dataset
- August 2026
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