Active NPI
Jennie Lynn Yates, D.C.
- Chiropractor
- Clearwater, FL
National Provider Identifier
1437337771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9511
- Practice address
- 1501 S Missouri Ave
Clearwater, FL 33756-2236 - Phone
- (727) 216-3216
- Fax
- (727) 216-3177
- NPI assigned
- Feb 8, 2008
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9511 | FL | Primary |
Addresses
Primary practice location
1501 S Missouri Ave
Clearwater, FL 33756-2236
Mailing address
1501 S Missouri Ave
Clearwater, FL 33756-2236
Phone (727) 216-3216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11823293 | Other | FL | CAQH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9511 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1437337771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S MISSOURI AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337562236",
"telephone_number": "727-216-3216",
"fax_number": "727-216-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S MISSOURI AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337562236",
"telephone_number": "727-216-3216",
"fax_number": "727-216-3177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "JENNIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-08",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11823293",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.