Active NPI
Linda Josefine Yawn, FNP-C
- Family Nurse Practitioner
- Kellogg, ID
National Provider Identifier
1457508301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 56803
- Practice address
- 107 McKinley Ave
Kellogg, ID 83837-2501 - Phone
- (208) 783-0300
- Fax
- (208) 783-0303
- NPI assigned
- Aug 22, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 56803 | ID | Primary |
Addresses
Primary practice location
107 McKinley Ave
Kellogg, ID 83837-2501
Mailing address
PO Box 442
Kellogg, ID 83837-0442
Phone (208) 783-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235797838 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171219000396 | ID | Practitioner - Nurse Practitioner | 0244364743 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
107 McKinley Ave
Kellogg, ID 83837-2501
Phone (208) 783-0300
Hospital & facility affiliations
- Loving Care and More
- Shoshone Medical Center
- Kootenai Health
- Northwest Specialty Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56803 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Valley Family Practice PC | Current | Accepting new patients | |
| Siskiyou Hospital, Inc. | Past | Accepting new patients | |
| Siskiyou Family Healthcare, Inc. | Past | Accepting new patients |
Locations
107 McKinley Ave
Kellogg, ID 83837
Phone (208) 783-0300
114 McKinley Ave
Kellogg, ID 83837
Phone (208) 783-0300
Interoperability endpoints
- linda.yawn.1@19932.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Yreka, CA
- NPI 1881686301
-
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Silverton, ID
- NPI 1356498521
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1457508301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 442",
"city": "KELLOGG",
"state": "ID",
"postal_code": "838370442",
"telephone_number": "208-783-0300",
"fax_number": "208-783-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MCKINLEY AVE",
"city": "KELLOGG",
"state": "ID",
"postal_code": "838372501",
"telephone_number": "208-783-0300",
"fax_number": "208-783-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAWN",
"first_name": "LINDA",
"middle_name": "JOSEFINE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-22",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "56803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235797838",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kellogg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.