Individual provider Active NPI

Meleah Beth Yates

  • Family Nurse Practitioner
  • Fultondale, AL
National Provider Identifier
1346516127
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-116122 Issued in AL
Practice address
1604 Stouts Rd
Fultondale, AL 35068-1962
Phone
(205) 849-9811
NPI assigned
Mar 27, 2012
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-116122 AL Primary

Addresses

Primary practice location

1604 Stouts Rd
Fultondale, AL 35068-1962

Mailing address

4173 Hathaway LN
Mount Olive, AL 35117-3487
Phone (205) 743-9930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120501000512 AL Practitioner - Nurse Practitioner 5597927988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-116122ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dysautonomia MVP Center, LLC. CurrentSince Apr 1, 2021 Accepting new patients
Birmingham Internal Medicine Associates, LLC Family Past Accepting new patients

Locations

2470 Rocky Ridge Rd
Ste 200
Vestavia, AL 35243
Phone (205) 286-3200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1346516127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4173 HATHAWAY LN",
            "city": "MOUNT OLIVE",
            "state": "AL",
            "postal_code": "351173487",
            "telephone_number": "205-743-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 STOUTS RD",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681962",
            "telephone_number": "205-849-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "MELEAH",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-116122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fultondale, AL

Sources for this page

Verify at the official NPI Registry.