Individual provider Active NPI

Kayla Yates, PNP

  • Pediatrics Physician
  • Martin, TN
National Provider Identifier
1265951917
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23160 Issued in TN
Practice address
415 S Lindell St
Martin, TN 38237-2442
Phone
(731) 281-4292
NPI assigned
Sep 13, 2017
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23160 TN Primary

Addresses

Primary practice location

415 S Lindell St
Martin, TN 38237-2442

Mailing address

2956 N County Home Rd
Union City, TN 38261-8022

Other practice location 1

1345 Edwards St
Union City, TN 38261-5814
Phone (731) 885-4338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200727003090 TN Practitioner - Nurse Practitioner 9537583331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23160TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Family Medicine, LLC CurrentSince Feb 29, 2020 Accepting new patients
Pediatric Place of Union City LLC Pediatrics Past Accepting new patients
Bane Medical Management LLC PastSince Mar 19, 2023 Accepting new patients

Locations

79 Highway 51 S
Ripley, TN 38063
Phone (731) 635-8189

2017 S College St
#C
Trenton, TN 38382
Phone (731) 222-5000

Interoperability endpoints

  • Direct secure messaging: kayla.yates.1@32899.direct.athenahealth.com
  • Direct secure messaging: pediatricreferral@pediatricplaceuc.opdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1265951917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2956 N COUNTY HOME RD",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382618022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S LINDELL ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372442",
            "telephone_number": "731-281-4292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Edwards St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382615814",
            "country_code": "US",
            "telephone_number": "731-885-4338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YATES",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "23160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

Verify at the official NPI Registry.