Individual provider Active NPI

Sha'Ala Lynn Yeates, CHE, CLC, BS

  • Health Educator
  • Antioch, CA
National Provider Identifier
1679180418
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
3400 Delta Fair Blvd Ste 130
Antioch, CA 94509-4004
Phone
(925) 779-5461
Fax
(925) 779-5474
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

3400 Delta Fair Blvd Ste 130
Antioch, CA 94509-4004

Mailing address

3400 Delta Fair Blvd Ste 130
Antioch, CA 94509-4004
Phone (925) 779-5461

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
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1679180418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DELTA FAIR BLVD STE 130",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094004",
            "telephone_number": "925-779-5461",
            "fax_number": "925-779-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 DELTA FAIR BLVD STE 130",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094004",
            "telephone_number": "925-779-5461",
            "fax_number": "925-779-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATES",
        "first_name": "SHA'ALA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CHE, CLC, BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.