Yedlisbett Garrett, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11952 Issued in TX

Practice address

810 SE Military Dr
San Antonio, TX 78214-2823

Phone

(210) 921-4200

Fax

(210) 922-8181

NPI assigned

Jan 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Yedlisbett Ceballos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Bettysana Wellness LLC

  • Physician Assistant
  • San Antonio, TX
  • NPI 1285456897
  NPD Authorized official
• Military Apothecary LP

  • Community/Retail Pharmacy
  • San Antonio, TX
  • NPI 1669487286
  NPD (past)

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1528576972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 MOSSROCK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305119",
            "telephone_number": "210-731-4800",
            "fax_number": "210-731-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SE MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142823",
            "telephone_number": "210-921-4200",
            "fax_number": "210-922-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "YEDLISBETT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEDLISBETT",
            "last_name": "CEBALLOS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Garrett, BCBA
• Reagan Garrett
• Shaunquette V Garrett, LCSW
• Sunni Lyn Garrett, NP
• Trinity Garrett
• Zackary Cody Garrett, PA-C
• Austin Joseph Garrison, DDS
• Brandon Garrison
• Gary J. Garrison, D.D.S.
• James Richard Garrison Jr., M.D.

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.