Yolanda S Tynes, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

2145P Issued in KY

Practice address

416 Central Avenue
Graves County Health Department
Mayfield, KY 42066

Phone

(270) 247-3553

Fax

(270) 247-0392

NPI assigned

Dec 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Susie Tynes Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Graves County Health Department

  • Public Health or Welfare Agency
  • Mayfield, KY
  • NPI 1659601755
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1306820329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 OAK LEVEL RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255391",
            "telephone_number": "270-703-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CENTRAL AVENUE",
            "address_2": "GRAVES COUNTY HEALTH DEPARTMENT",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "42066",
            "telephone_number": "270-247-3553",
            "fax_number": "270-247-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNES",
        "first_name": "YOLANDA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "2145P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20079018",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSIE",
            "last_name": "TYNES",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anita Torok, MD
• Leslie Travis, RN
• Tracy Lyn Travis
• Tree of Hope Inc
• Rudolph Joseph Triana Jr., M.D.
• John G Vansavage, MD
• Vantage Integrative Psychiatry
• Jared M Veazey, L.M.T.
• W R B Enterprises Inc (Gibsons Discount Pharmacy)
• Wal-Mart Stores East LP (Walmart Pharmacy 100430)

• Women's Health Nurse Practitioner in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Women's Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.