Active NPI
Kristie L Yarmer, M.D.
- Pediatrics Physician
- Craig, CO
National Provider Identifier
1336254671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 51212
- Practice address
- 785 Russell Street
Craig, CO 81625-2019 - Phone
- (970) 826-2400
- Fax
- (970) 826-2429
- NPI assigned
- Aug 19, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 51212 | CO | Primary |
Addresses
Primary practice location
785 Russell Street
Craig, CO 81625-2019
Mailing address
785 Russell Street
Craig, CO 81625-2019
Phone (970) 826-2400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10053755 | Other | GA | AMERIGROUP |
| 000457400 | Medicaid | FL | |
| 336546 | Other | GA | WELLCARE |
| 1336254671 | Other | CO | MEDICARE |
| 19551339 | Medicaid | CO | |
| 230109642A | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51212 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKinney Medical Center Inc | Past | Accepting new patients | |
| McKinney Community Health Ctr, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Blackshear, GA
- NPI 1568623346
-
- Federally Qualified Health Center (FQHC)
- Alma, GA
- NPI 1134454911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1336254671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 RUSSELL STREET",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252019",
"telephone_number": "970-826-2400",
"fax_number": "970-826-2429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 RUSSELL STREET",
"city": "CRAIG",
"state": "CO",
"postal_code": "816252019",
"telephone_number": "970-826-2400",
"fax_number": "970-826-2429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARMER",
"first_name": "KRISTIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "51212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10053755",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000457400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "336546",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1336254671",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19551339",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230109642A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Craig, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.