Active NPI
Karen L Yates, M.D.
- Internal Medicine Physician
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23760
- 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, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23760 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Dilkon Medical Center | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | 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.
-
dba Hopi Health Care Center
- Critical Access Hospital
- Polacca, AZ
- NPI 1356628028
TX
-
- Federal Public Health Clinic/Center
- Winslow, AZ
- NPI 1184729493
TX
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Specialist
- Prescott, AZ
- NPI 1922270438
-
- Federal Public Health Clinic/Center
- Dilkon, AZ
- NPI 1306016126
-
dba Winslow Indian Health Care Ambulance
- Land Ambulance
- Winslow, AZ
- NPI 1477827368
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
- Victoria T Workman, OTRL CHT
- Amy Beth Wrabetz, PH.D.
- Bonnie T Wright-Robinson, LPC
- Aaron Michael Wulff, D.M.D.
- Paul Juan Wulff, D.M.D.
- Yavapai Advanced Vision Center PLLC
- Yavapai Care Services, LLC (Helping Hands In Home Care)
- Yavapai Community Hospital Association (Yavapai Regional Medical Center General Surgery)
- Yavapai Community Hospital Association (Yavapai Regional Medical Center)
- Yavapai County Community Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.