Active NPI
Yolanda Marie Taite
- Contractor
- Mobile, AL
National Provider Identifier
1073843330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 171W00000X
- Practice address
- 304 Southwest Blvd
Mobile, AL 36611-2113 - Phone
- (251) 300-8526
- Fax
- (251) 300-8531
- NPI assigned
- Jan 10, 2010
- Last updated
- Jan 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 171W00000X | AL | Primary |
Addresses
Primary practice location
304 Southwest Blvd
Mobile, AL 36611-2113
Mailing address
304 Southwest Blvd
Mobile, AL 36611-2113
Phone (251) 300-8526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171W00000X | AL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263081600000",
"number": "1073843330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 SOUTHWEST BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366112113",
"telephone_number": "251-300-8526",
"fax_number": "251-300-8531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 SOUTHWEST BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366112113",
"telephone_number": "251-300-8526",
"fax_number": "251-300-8531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAITE",
"first_name": "YOLANDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-10",
"last_updated": "2010-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AL",
"license": "171W00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.