Lena Marie Yeater

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

01375 Issued in WV

Practice address

112 Kuykendall LN
Moorefield, WV 26836-1167

Phone

(304) 530-7755

Fax

(304) 530-7756

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Potomac Highlands Mental Health Guild, Inc.Group PAC ID 0244316123, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Potomac Highlands Mental Health Guild, Inc.

  • Community/Behavioral Health Agency
  • Petersburg, WV
  • NPI 1992714398
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1104868819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 KUYKENDALL LN",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361167",
            "telephone_number": "304-530-7755",
            "fax_number": "304-530-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KUYKENDALL LN",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361167",
            "telephone_number": "304-530-7755",
            "fax_number": "304-530-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATER",
        "first_name": "LENA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Joseph Williams, PHARM.D
• Earl Neil Williams, D.C.
• Mary A Wilson
• Tamera Jean Wimer
• Peggy L Wright, RN

• Physician Assistant in Moorefield, WV
• Providers in Moorefield, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.