Individual provider Active NPI

Karyn Yates, PA-C

  • Physician Assistant
  • Marriottsville, MD
National Provider Identifier
1386571552
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0010388 Issued in MD
Practice address
11125 Stratfield CT
Marriottsville, MD 21104-1650
Phone
(443) 424-7754
NPI assigned
May 4, 2026
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2209 Cheverly Ave
Cheverly, MD 20785-3009

8406 Red Bay CT
Suite 8406
Vero Beach, FL 32963-4245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0010388MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kindred Hair & Skin Center, LLC CurrentSince Jun 1, 2026 Accepting new patients

Locations

11125 Stratfield Ct
Marriottsvl, MD 21104
Phone (443) 424-7754

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00182

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0010388 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

11125 Stratfield CT
Marriottsville, MD 21104-1650

Mailing address

11125 Stratfield CT
Marriottsville, MD 21104-1650

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2026.

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1386571552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 STRATFIELD CT",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 STRATFIELD CT",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041650",
            "telephone_number": "443-424-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "KARYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0010388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marriottsville, MD

Sources for this page

Verify at the official NPI Registry.