Individual provider Active NPI

Karly Yingst, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Timnath, CO
National Provider Identifier
1629592803
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0993204 Issued in CO
Practice address
1352 Waterfall St
Timnath, CO 80547-4445
Phone
(970) 391-0195
NPI assigned
Jul 31, 2017
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 993204 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0993204 CO Primary

Addresses

Primary practice location

1352 Waterfall St
Timnath, CO 80547-4445

Mailing address

1352 Waterfall St
Timnath, CO 80547-4445
Phone (970) 391-0195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200601000579 CO Practitioner - Nurse Practitioner 1951722909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
993204COMDPediatric Nurse Practitioner
0993204COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Psychiatry Psychiatric/Mental Health CurrentSince Mar 19, 2023 Accepting new patients
Thompson River Pediatrics and Urgent Care, LLC Past Accepting new patients
Lee & Me Psychiatry, PLLC Psychiatric/Mental Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1629592803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 WATERFALL ST",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805474445",
            "telephone_number": "970-391-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 WATERFALL ST",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805474445",
            "telephone_number": "970-391-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YINGST",
        "first_name": "KARLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "993204",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0993204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timnath, CO

Sources for this page

Verify at the official NPI Registry.