Yuri Kubotera

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10221037-4405 Issued in UT

Practice address

344 E 100 S
SLC, UT 84111-1700

Phone

(801) 322-3222

NPI assigned

Jan 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Huther-Doyle Memorial Institute IncGroup PAC ID 2264675784, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Huther-Doyle Memorial Institute Inc

  • Community/Behavioral Health Agency
  • Rochester, NY
  • NPI 1033520440
  Medicare reassignment Care Compare group NPD
• Huther Doyle Memorial Institute

  • Case Management Agency
  • Rochester, NY
  • NPI 1073614533
  NPD (past)

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1295323665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E 100 S",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841111700",
            "telephone_number": "801-322-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E 100 S",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841111700",
            "telephone_number": "801-322-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBOTERA",
        "first_name": "YURI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10221037-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Knight, MSW, CSW
• Kleo Kobe
• Satoa Faalata Koli
• Edward John Kovacs III, CADC-INTERN
• Carolyn G Kowalchik, RPH
• William Eugene Kunzler, PHARMD
• Judith Diana Kupferschmid, RN
• Richard Francis Labasky, MD
• Shalisa Ladd
• Gon T Lam, NP

• Family Nurse Practitioner in SLC, UT
• Providers in SLC, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.