Active NPI
Tara Yates, RN
- School Registered Nurse
- Geneseo, NY
National Provider Identifier
1295478808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 590905
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 590905 | NY | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Department Education Geneseo Central School District | Past | 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.
-
- Local Education Agency (LEA)
- Geneseo, NY
- NPI 1295884914
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.