Active NPI
Holly Yeatts, NP
- Acute Care Nurse Practitioner
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- NP07594
- Practice address
- 2132 E 3Rd St
Dayton, OH 45403-1991 - Phone
- (937) 528-6850
- Fax
- (937) 528-6810
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NP07594 | OH | Primary |
Addresses
Primary practice location
2132 E 3Rd St
Dayton, OH 45403-1991
Mailing address
500 Kirts Blvd Ste 100
Troy, MI 48084-4135
Phone (248) 434-6169
Other practice location 1
3033 Kettering Blvd Ste 100
Moraine, OH 45439
Phone (937) 293-2133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2623316 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
740 Commerce Dr
Suite a
Perrysburg, OH 43551-5276
Phone 24852821166
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP07594 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Inc | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Mobile Medical, Inc. | Past | Accepting new patients | |
| Hospice of Southwest Ohio, Inc. | Past | Accepting new patients |
Locations
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155
3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133
3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393
740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Middleburg Heights, OH
- NPI 1932386059
-
dba OnHealthcare
- Geriatric Medicine (Family Medicine) Physician
- Perrysburg, OH
- NPI 1558682179
-
- Clinical Social Worker
- Maumee, OH
- NPI 1952929630
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1043295611
-
- Podiatrist
- Perrysburg, OH
- NPI 1003066747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1326073446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 KIRTS BLVD STE 100",
"city": "TROY",
"state": "MI",
"postal_code": "480844135",
"telephone_number": "248-434-6169",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2132 E 3RD ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454031991",
"telephone_number": "937-528-6850",
"fax_number": "937-528-6810"
}
],
"practiceLocations": [
{
"address_1": "3033 Kettering Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Moraine",
"state": "OH",
"postal_code": "45439",
"country_code": "US",
"telephone_number": "937-293-2133",
"fax_number": "855-252-2435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEATTS",
"first_name": "HOLLY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "NP07594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2623316",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.