Active NPI
Micheal Yanta
- Case Manager/Care Coordinator
- Flint, MI
National Provider Identifier
1669127544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1040 W Bristol Rd
Flint, MI 48507-5516 - Phone
- (810) 257-3705
- NPI assigned
- Feb 18, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1040 W Bristol Rd
Flint, MI 48507-5516
Mailing address
1040 W Bristol Rd
Flint, MI 48507-5516
Phone (810) 257-3705
Other practice location 1
1110 Eldon Baker Dr
Flint, MI 48507-1923
Phone (810) 742-4968
Other practice location 2
1402 S Saginaw St
Flint, MI 48503-3705
Phone (810) 496-5777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1669127544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 W BRISTOL RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485075516",
"telephone_number": "810-257-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 W BRISTOL RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485075516",
"telephone_number": "810-257-3705"
}
],
"practiceLocations": [
{
"address_1": "1110 Eldon Baker Dr",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485071923",
"country_code": "US",
"telephone_number": "810-742-4968",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1402 S Saginaw St",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485033705",
"country_code": "US",
"telephone_number": "810-496-5777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANTA",
"first_name": "MICHEAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-18",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.