Individual provider Active NPI

Doreen A. Yannotta, NP

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1245294297
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN065943 Issued in AZ
Practice address
20414 N 27TH Ave
Suite 300
Phoenix, AZ 85027-3250
Phone
(623) 879-6000
NPI assigned
Apr 14, 2006
Last updated
Jun 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN065943 AZ Primary

Addresses

Primary practice location

20414 N 27TH Ave
Suite 300
Phoenix, AZ 85027-3250

Mailing address

26828 N 57TH Dr
Phoenix, AZ 85083-1246
Phone (480) 414-7256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN065943AZMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: doreen.yannotta.1@9032.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1245294297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26828 N 57TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850831246",
            "telephone_number": "480-414-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20414 N 27TH AVE",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273250",
            "telephone_number": "623-879-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNOTTA",
        "first_name": "DOREEN",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN065943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.