Avalon Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

AVALON PSYCHIATRIC SERVICES LLC

Practice address

8044 Montgomery Rd Ste 700
Cincinnati, OH 45236-2926

Phone

(513) 277-9614

Fax

(513) 436-1822

NPI assigned

Feb 22, 2021

Last updated

Aug 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristie YakuraNPI 1336403161

Title

Owner

Phone

(513) 277-9614

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristie A. Yakura, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
  • NPI 1336403161
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1669066502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 MONTGOMERY RD STE 700",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362926",
            "telephone_number": "513-277-9614",
            "fax_number": "513-436-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 MONTGOMERY RD STE 700",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362926",
            "telephone_number": "513-277-9614",
            "fax_number": "513-436-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2023-08-11",
        "certification_date": "2023-02-12",
        "status": "A",
        "authorized_official_last_name": "YAKURA",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-277-9614"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen T Autry, M.D.,MBA
• Autumn Springs Homehealth LLC
• Serena Auyeung-Chang, PHARMD
• Yee Auyeung
• Avalon Hospice Ohio, LLC (Gentiva)
• Brooke H Avance
• Stephanie Lauren Avdagic, DNP, APRN, FNP-BC
• Max Frazier Aveis, MD
• Aventura at West Park LLC (Aventura at West Park)
• Aventura at West Park LLC

• Psychiatric/Mental Health Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.