Tara Yeske, A.T.C.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

2601001079 Issued in MI

Practice address

4100 Lake Dr SE
Suite 300
Grand Rapids, MI 49546-8292

Phone

(616) 267-8860

NPI assigned

Nov 25, 2013

Last updated

Nov 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1598195794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 PIMLICO PL",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642392",
            "telephone_number": "860-573-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE DR SE",
            "address_2": "SUITE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468292",
            "telephone_number": "616-267-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YESKE",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "A.T.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "MI",
            "license": "2601001079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINING LICENSE",
            "identifier": "2601001079",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Alan Yenger, D.O.
• Baylee Yeomans, PA
• Raymond Yi-Sheng Yeow, MD
• Guillermo Jesus Yepes Junquera, MD
• Gabriel Yves Marie Yepes, MD
• Aidan Yetsko, PHARMD
• Sara Marie Yettaw, FNP-C
• Ymc Health
• Mackenzie K Yob
• Alissa Kay Yoder, MA, CCC-SLP

• Rehabilitation Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Rehabilitation Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.