Individual provider Active NPI

Bryce David Yates, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1487184446
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
35757 Issued in TN
Practice address
205 W Springdale Ave
Knoxville, TN 37917-5158
Phone
(865) 637-9711
NPI assigned
Jun 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 35757 TN Primary

Addresses

Primary practice location

205 W Springdale Ave
Knoxville, TN 37917-5158

Mailing address

200 Tech Center Dr
Knoxville, TN 37912-2747
Phone (865) 637-9711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210301001650 OH Practitioner - Nurse Practitioner 4688931298 Reassigns benefits to 1 organization
I20240822000324 TN Practitioner - Nurse Practitioner 4688931298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Helen Ross McNabb CenterGroup PAC ID 1658278809, 40 clinicians
National Addiction Specialists LLCGroup PAC ID 1254709959, 16 clinicians

Practice addresses (Care Compare)

205 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711

5511 Virginia Way
Suite 300
Brentwood, TN 37027-7611
Phone (615) 994-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
35757TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Ross McNabb Center CurrentSince Jun 3, 2024 Accepting new patients
National Addiction Specialists LLC CurrentSince Dec 1, 2024 Accepting new patients
Lifesource of North Carolina CurrentSince Feb 23, 2021 Accepting new patients
Phoenix Counseling Center PastSince Feb 14, 2021 Accepting new patients

Locations

410 W Elm St
Bluffton, OH 45817
Phone (419) 358-1015

1525 Eber Rd
Holland, OH 43528
Phone (419) 866-6500

5511 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 692-1560

600 Arthur St
Knoxville, TN 37921
Phone (865) 523-8695

3712 Middlebrook Pike
Knoxville, TN 37921
Phone (865) 444-2333

5310 Ball Camp Pike
Knoxville, TN 37921
Phone (865) 262-8208

5645 Merchants Center Blvd
Knoxville, TN 37912
Phone (865) 257-9982

200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 329-9124

205 W Springdale Ave
Knoxville, TN 37917
Phone (865) 312-7278

201 W Springdale Ave
Knoxville, TN 37917
Phone (865) 329-9173

5302 Ball Camp Pike
Knoxville, TN 37921
Phone (865) 523-4704

1704 E Broadway Ave
Maryville, TN 37804
Phone (865) 681-6990

320 W 3rd North St
Morristown, TN 37814
Phone (423) 273-5599

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1487184446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TECH CENTER DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122747",
            "telephone_number": "865-637-9711",
            "fax_number": "704-480-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W SPRINGDALE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379175158",
            "telephone_number": "865-637-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "BRYCE",
        "middle_name": "DAVID",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2024-06-04",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "35757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.