Individual provider Active NPI

Tara Yates, RN

  • School Registered Nurse
  • Geneseo, NY
National Provider Identifier
1295478808
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
590905 Issued in NY
Practice address
4050 Avon Rd
Geneseo, NY 14454-9721
Phone
(585) 243-3451
Fax
(585) 243-8087
NPI assigned
Apr 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 590905 NY Primary

Addresses

Primary practice location

4050 Avon Rd
Geneseo, NY 14454-9721

Mailing address

8143 Dutch Street Rd
Mount Morris, NY 14510-9564
Phone (585) 506-6801

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tarayates@geneseocsd.org

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
590905NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York Department Education Geneseo Central School District PastSince Apr 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1295478808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8143 DUTCH STREET RD",
            "city": "MOUNT MORRIS",
            "state": "NY",
            "postal_code": "145109564",
            "telephone_number": "585-506-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 AVON RD",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144549721",
            "telephone_number": "585-243-3451",
            "fax_number": "585-243-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "TARA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "590905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tarayates@geneseocsd.org",
            "affiliation": "N",
            "address_1": "4050 Avon Rd",
            "city": "Geneseo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144549721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.