Individual provider Active NPI

Kristie A. Yakura, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1336403161
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN263720 Issued in OH
Practice address
8044 Montgomery Rd Ste 700
Cincinnati, OH 45236-2926
Phone
(513) 277-9614
Fax
(513) 436-1822
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.13862-NP OH
Family Nurse Practitioner 363LF0000X 3008417 KY
Family Nurse Practitioner 363LF0000X RN.263720 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN263720 OH Primary
Registered Nurse 163W00000X 1137920 KY

Addresses

Primary practice location

8044 Montgomery Rd Ste 700
Cincinnati, OH 45236-2926

Mailing address

8044 Montgomery Rd Ste 700
Cincinnati, OH 45236-2926
Phone (513) 277-9614

Other identifiers 4

IdentifierTypeStateIssuer
P10001066725OtherOHBUCKEYE
H270571OtherOHMEDICARE
897718OtherOHANTHEM
4141976OtherOHAETNA

Other names 1

  • Kris Yakura Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://provider.kareo.com/kris-yakura-1 Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130905000304 OH Practitioner - Nurse Practitioner 8123261450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8044 Montgomery Rd
Suite 700
Cincinnati, OH 45236-2926
Phone (513) 277-9614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1137920KYMDRegistered Nurse
3008417KYMDFamily Nurse Practitioner
COA.13862-NPOHMDFamily Nurse Practitioner
RN.263720OHMDFamily Nurse Practitioner
RN263720OHMDPsychiatric/Mental Health Nurse Practitioner

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1336403161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 MONTGOMERY RD STE 700",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362926",
            "telephone_number": "513-277-9614",
            "fax_number": "513-436-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 MONTGOMERY RD STE 700",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362926",
            "telephone_number": "513-277-9614",
            "fax_number": "513-436-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKURA",
        "first_name": "KRISTIE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.13862-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008417",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.263720",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN263720",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1137920",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "P10001066725",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H270571",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "897718",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4141976",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://provider.kareo.com/kris-yakura-1",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "scheduling and contact",
            "address_1": "201 E 5th St Ste 1900",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452024162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "YAKURA",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.