Yolanda Roshell Bates, AGNP-C

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

30275 Issued in TX

Practice address

5304 E 5TH St Ste 113
Katy, TX 77493-2532

Phone

(346) 307-7500

Fax

(346) 307-7570

NPI assigned

May 24, 2019

Last updated

Jul 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Yolanda Roshell Bullock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1699332692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 E 5TH ST STE 113",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932532",
            "telephone_number": "346-307-7500",
            "fax_number": "866-850-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 E 5TH ST STE 113",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932532",
            "telephone_number": "346-307-7500",
            "fax_number": "346-307-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "YOLANDA",
        "middle_name": "ROSHELL",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "TX",
            "license": "30275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "BULLOCK",
            "middle_name": "ROSHELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Norbe Luis Basulto Barcelay, LSA, FNP-C
• Estefania Fernanda Batallas, ARNP FNP-BC
• Krystal Renae Batchelor, D.O.
• Gina Bates
• Melissa Rhea Bates, LM, CPM
• Julia Batinga
• Khristian Batise, BCBA, LBA
• Daillanis Batista Mendoza
• Azyadeh Batista
• Dalia Lucia Batista, MD

• Gerontology Registered Nurse in Katy, TX
• Providers in Katy, TX by specialty
• Gerontology Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.