Individual provider Active NPI

Jennifer Yarbrough Yates, FNP

  • Family Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1376101477
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
000000000000 Issued in AL
Practice address
731 Leighton Ave Ste 201
Anniston, AL 36207-5762
Phone
(256) 235-5972
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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 000000000000 AL Primary

Addresses

Primary practice location

731 Leighton Ave Ste 201
Anniston, AL 36207-5762

Mailing address

2871 County Road 1
Wedowee, AL 36278-6272

Other practice location 1

2804 Dr John Haynes Dr
Pell City, AL 35125-1438
Phone (205) 338-6655

Other practice location 2

2050 Village Dr
Leeds, AL 35094-1107
Phone (205) 338-6655

Other identifiers 1

IdentifierTypeStateIssuer
0000000000MedicaidAL

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
I20190722001420 AL Practitioner - Nurse Practitioner 4183950686

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2804 Dr John Haynes Dr
Pell City, AL 35125-1438

Hospital & facility affiliations

  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000000000ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Anesthesiology and Pain Consultants P.C. CurrentSince Jun 18, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients

Locations

731 Leighton Ave
Ste 201
Anniston, AL 36207
Phone (205) 338-6655

2804 Hospital Dr
Pell City, AL 35125
Phone (205) 338-6655

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1376101477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 COUNTY ROAD 1",
            "city": "WEDOWEE",
            "state": "AL",
            "postal_code": "362786272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 LEIGHTON AVE STE 201",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075762",
            "telephone_number": "256-235-5972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2804 Dr John Haynes Dr",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351251438",
            "country_code": "US",
            "telephone_number": "205-338-6655",
            "fax_number": "205-338-6658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Leeds",
            "state": "AL",
            "postal_code": "350941107",
            "country_code": "US",
            "telephone_number": "205-338-6655",
            "fax_number": "205-338-6658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YATES",
        "first_name": "JENNIFER",
        "middle_name": "YARBROUGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "000000000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000000",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.