Active NPI
Latasha Kiki Yazzie, EMT BASIC
- Basic Emergency Medical Technician
- Kayenta, AZ
National Provider Identifier
1396349858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- E98538870
- Practice address
- Hwy 160 M.P 394.3
Kayenta, AZ 86033 - Phone
- (928) 697-4000
- NPI assigned
- Nov 25, 2020
- Last updated
- Nov 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| E98538870 | AZ | MD | Basic 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.