Individual provider Active NPI

Latasha Kiki Yazzie, EMT BASIC

  • Basic Emergency Medical Technician
  • Kayenta, AZ
National Provider Identifier
1396349858
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
E98538870 Issued in AZ
Practice address
Hwy 160 M.P 394.3
Kayenta, AZ 86033
Phone
(928) 697-4000
NPI assigned
Nov 25, 2020
Last updated
Nov 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X E98538870 AZ Primary

Addresses

Primary practice location

Hwy 160 M.P 394.3
Kayenta, AZ 86033

Mailing address

PO Box 7696
Shonto, AZ 86054-7696
Phone (928) 707-9558

Other practice location 1

State Route 98 & US Highway 160
Shonto, AZ 86054-7696
Phone (928) 707-9558

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)
Not enrolled
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
E98538870AZMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1396349858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7696",
            "city": "SHONTO",
            "state": "AZ",
            "postal_code": "860547696",
            "telephone_number": "928-707-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 160 M.P 394.3",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "86033",
            "telephone_number": "928-697-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "State Route 98 & US Highway 160",
            "address_purpose": "LOCATION",
            "city": "Shonto",
            "state": "AZ",
            "postal_code": "860547696",
            "country_code": "US",
            "telephone_number": "928-707-9558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAZZIE",
        "first_name": "LATASHA",
        "middle_name": "KIKI",
        "credential": "EMT BASIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "AZ",
            "license": "E98538870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kayenta, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.