Active NPI
Marla Jana Yazzie, M.D.
- Pediatrics Physician
- Fort Defiance, AZ
National Provider Identifier
1679830764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 50693
- Practice address
- Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649 - Phone
- (928) 729-8000
- NPI assigned
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 50693 | AZ | Primary |
Addresses
Primary practice location
Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649
Mailing address
PO Box 649
Fort Defiance, AZ 86504-0649
Other practice location 1
483 W Seed Farm Rd
Sacaton, AZ 85147-5000
Phone (602) 528-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Health Care | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients |
Locations
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Interoperability endpoints
- marla.yazzie.p1@direct.nachci.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1477876639
TX
-
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
- Rural Acute Care Hospital
- Maricopa, AZ
- NPI 1386633915
-
- Federal Public Health Clinic/Center
- Tohatchi, NM
- NPI 1902875594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1679830764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTE N12 AND N7",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8000"
}
],
"practiceLocations": [
{
"address_1": "483 W Seed Farm Rd",
"address_purpose": "LOCATION",
"city": "Sacaton",
"state": "AZ",
"postal_code": "851475000",
"country_code": "US",
"telephone_number": "602-528-1200",
"fax_number": "602-528-1255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAZZIE",
"first_name": "MARLA",
"middle_name": "JANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "50693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.