Chase Kiyoshi Yamamoto, CBRS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6795 N Mineral Dr
Coeur D Alene, ID 83815-8700

Phone

(208) 769-4222

Fax

(844) 803-7399

NPI assigned

Jul 16, 2020

Last updated

Oct 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dirne Health Centers Inc

  dba Heritage Health

  • Federally Qualified Health Center (FQHC)
  • Coeur d'Alene, ID
  • NPI 1720564271
  NPD (past)

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1275141236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.B.1387",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "83835",
            "telephone_number": "208-415-0299",
            "fax_number": "208-625-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 N MINERAL DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158700",
            "telephone_number": "208-769-4222",
            "fax_number": "844-803-7399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 N Ironwood Pl",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142670",
            "country_code": "US",
            "telephone_number": "208-415-0299",
            "fax_number": "844-803-7399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 W Park Pl",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142787",
            "country_code": "US",
            "telephone_number": "208-620-5210",
            "fax_number": "844-807-3782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "CHASE",
        "middle_name": "KIYOSHI",
        "credential": "CBRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "AD005757R",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Wraith I, LCSW
• Jason Wright, FNP
• Jeffery Wurts, CTC
• Robert K Wyatt, LCSW
• Stefan Noel Yakel, DO
• Kari Yarrow
• Jason Yarter
• Stephen Dwight Yates, M.A., LMFT
• Johnny Ybanez II, LMP
• Kali Yeager

• Case Manager/Care Coordinator in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Case Manager/Care Coordinator in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.