Individual provider Active NPI

Erin Beth Yoffie, PA-C

  • Medical Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1053578294
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2004027784 Issued in MO
Practice address
11125 Dunn Rd Ste 411
Saint Louis, MO 63136-6132
Phone
(314) 355-7111
Fax
(314) 355-8604
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2004027784 MO Primary

Addresses

Primary practice location

11125 Dunn Rd Ste 411
Saint Louis, MO 63136-6132

Mailing address

11125 Dunn Rd
Ste. 204
Saint Louis, MO 63136-6132
Phone (314) 355-7111

Other practice location 1

1034 S Brentwood Blvd Ste 1000
Saint Louis, MO 63117-1210
Phone (314) 781-0794

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ErinYoffie@garrett.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050303000184 MO Practitioner - Physician Assistant 2769435650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Saint Louis University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deluxe Dermatology LLCGroup PAC ID 1850702010, 3 clinicians

Practice addresses (Care Compare)

1034 S Brentwood Blvd
Suite 1000
Saint Louis, MO 63117-1210
Phone (314) 781-0794

11125 Dunn Rd
Suite 206
Saint Louis, MO 63136-6132
Phone (314) 355-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2004027784MOMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jacquelyn B. Garrett, M.D. PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erinyoffie@garrett.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1053578294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD",
            "address_2": "STE. 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-355-7111",
            "fax_number": "314-355-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD STE 411",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-355-7111",
            "fax_number": "314-355-8604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 S Brentwood Blvd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631171210",
            "country_code": "US",
            "telephone_number": "314-781-0794",
            "fax_number": "314-781-0817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOFFIE",
        "first_name": "ERIN",
        "middle_name": "BETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2004027784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ErinYoffie@garrett.emadirect.md",
            "affiliation": "N",
            "address_1": "11125 Dunn Rd Ste 411",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.