Individual provider Active NPI

Katie Vittengl Yeaton, FNP

  • Family Nurse Practitioner
  • Ballston Spa, NY
National Provider Identifier
1205358892
Registry record updated Jul 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342041 Issued in NY
Practice address
2554 State Route 9
Ballston Spa, NY 12020-6312
Phone
(518) 899-5002
NPI assigned
Jul 14, 2017
Last updated
Jul 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342041 NY Primary

Addresses

Primary practice location

2554 State Route 9
Ballston Spa, NY 12020-6312

Mailing address

2554 State Route 9
Ballston Spa, NY 12020-6312
Phone (518) 899-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170925000084 NY Practitioner - Nurse Practitioner 9931473329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irongate Family Practice Associates PLLCGroup PAC ID 4981602307, 27 clinicians

Practice addresses (Care Compare)

3 Irongate Ctr
Glens Falls, NY 12801-3471
Phone (518) 793-4409

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Ryan Family Health Nurse Practitioner, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Irongate Family Practice Associates PLLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

3 Irongate Ctr
Glens Falls, NY 12801
Phone (518) 793-4409

2554 State Route 9
Malta, NY 12020
Phone (518) 899-5002

Interoperability endpoints

  • Direct secure messaging: katiey@irongatefamilypractice.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1205358892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 STATE ROUTE 9",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120206312",
            "telephone_number": "518-899-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 STATE ROUTE 9",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120206312",
            "telephone_number": "518-899-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATON",
        "first_name": "KATIE",
        "middle_name": "VITTENGL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

Verify at the official NPI Registry.