Active NPI
Teresa Susan Yates, CRNA
- Registered Nurse
- Reidsville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 095134
- Practice address
- 618 S Main St
Reidsville, NC 27320-5020 - Phone
- (336) 951-4000
- NPI assigned
- Nov 16, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 095134 | NC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 041124 | NC |
Addresses
Primary practice location
618 S Main St
Reidsville, NC 27320-5020
Mailing address
PO Box 26580
Greensboro, NC 27415-6580
Phone (336) 832-7786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8050366 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 832-1000
509 E N Elam Ave
FL 3
Greensboro, NC 27403-1118
Phone (336) 832-1970
618 S Main St
Reidsville, NC 27320-5020
Phone (336) 938-0800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095134 | NC | MD | Registered Nurse |
| 041124 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Past | Accepting new patients |
Locations
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100
300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965
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.
-
dba Cone Health Sickle Cell Center
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
dba Wesley Long Outpatient Pharmacy
- Community/Retail Pharmacy
- Greensboro, NC
- NPI 1386904886
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1225101389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26580",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274156580",
"telephone_number": "336-832-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 S MAIN ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205020",
"telephone_number": "336-951-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "TERESA",
"middle_name": "SUSAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "095134",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "041124",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050366",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.