Individual provider Active NPI

Karen L Yates, M.D.

  • Internal Medicine Physician
  • Prescott, AZ
National Provider Identifier
1083795215
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23760 Issued in AZ
Practice address
3101 Clearwater Dr
Suite C
Prescott, AZ 86305-7180
Phone
(928) 771-0555
Fax
(928) 771-0444
NPI assigned
Oct 17, 2006
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23760 AZ Primary
Pediatrics Physician 208000000X 23760 AZ

Addresses

Primary practice location

3101 Clearwater Dr
Suite C
Prescott, AZ 86305-7180

Mailing address

3101 Clearwater Dr
Suite C
Prescott, AZ 86305-7180
Phone (928) 771-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171120001023 TX Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Hospitalist 0446142012 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23760AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winslow Indian Health Care Center, Inc CurrentSince Jun 6, 2022 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jan 24, 2020 Accepting new patients
Dilkon Medical Center Current Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jan 21, 2021 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Oct 25, 2017 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Jun 6, 2022 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1083795215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 CLEARWATER DR",
            "address_2": "SUITE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057180",
            "telephone_number": "928-771-0555",
            "fax_number": "928-771-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CLEARWATER DR",
            "address_2": "SUITE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057180",
            "telephone_number": "928-771-0555",
            "fax_number": "928-771-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "23760",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "23760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.