Individual provider Active NPI

Heather Leah Yates, APRN-FNP

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1699483008
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
210844 Issued in OK
Practice address
9810 E 42ND St Ste 110
Tulsa, OK 74146-3675
Phone
(918) 857-5071
NPI assigned
Nov 14, 2022
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 210844 OK Primary

Addresses

Primary practice location

9810 E 42ND St Ste 110
Tulsa, OK 74146-3675

Mailing address

9810 E 42ND St Ste 110
Tulsa, OK 74146-3675
Phone (918) 857-5071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123000042 OK Practitioner - Nurse Practitioner 3577934934 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
210844OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Family Clinic CurrentSince Nov 14, 2022 Accepting new patients
True Believers Family Clinic PLLC Family CurrentSince Jun 29, 2025 Accepting new patients

Locations

1081 N Birch Ave
Broken Arrow, OK 74012
Phone (918) 421-0422

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1699483008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 E 42ND ST STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463675",
            "telephone_number": "918-857-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 E 42ND ST STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463675",
            "telephone_number": "918-857-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "HEATHER",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "210844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.