Active NPI
Christy Rachel Yetter I, MPAS, PA-C
- Physician Assistant
- Ennis, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2203 W Lampasas St
Suite 205
Ennis, TX 75119-5644 - Phone
- (972) 875-6200
- NPI assigned
- Mar 21, 2007
- Last updated
- Sep 23, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2203 W Lampasas St
Suite 205
Ennis, TX 75119-5644
Mailing address
710 Cody Rd
Ennis, TX 75119-8830
Phone (972) 878-6227
Other practice location 1
1305 N Highway 77
Waxahachie, TX 75165-5117
Phone (972) 937-1203
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 S Main St
Keller, TX 76248-5003
Phone (214) 295-9385
345 N Hwy 67
Cedar Hill, TX 75104-2134
Phone (972) 956-5300
377 W Campbell Rd
Suite 100
Richardson, TX 75080-3695
Phone (469) 232-2945
8450 E Fwy
Fort Worth, TX 76120-4413
Phone (817) 459-2005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care Texas, P.a. | Current | Accepting new patients | |
| Medexpress Urgent Care Texas, P.a. | Current | Accepting new patients |
Locations
5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928
22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124
1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Denton, TX
- NPI 1770048704
-
dba MedExpress Urgent Care - Little Elm, E Eldorado Pkwy
- Urgent Care Clinic/Center
- Little Elm, TX
- NPI 1194246884
-
- General Practice Physician
- Southlake, TX
- NPI 1043635931
-
dba MedExpress Urgent Care - Waxahachie, N Highway 77
- Urgent Care Clinic/Center
- Waxahachie, TX
- NPI 1235633306
-
dba MedExpress Urgent Care - Irving, N Belt Line Rd
- Urgent Care Clinic/Center
- Irving, TX
- NPI 1730673922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1710003926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 CODY RD",
"city": "ENNIS",
"state": "TX",
"postal_code": "751198830",
"telephone_number": "972-878-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 W LAMPASAS ST",
"address_2": "SUITE 205",
"city": "ENNIS",
"state": "TX",
"postal_code": "751195644",
"telephone_number": "972-875-6200"
}
],
"practiceLocations": [
{
"address_1": "1305 N Highway 77",
"address_purpose": "LOCATION",
"city": "Waxahachie",
"state": "TX",
"postal_code": "751655117",
"country_code": "US",
"telephone_number": "972-937-1203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YETTER",
"first_name": "CHRISTY",
"middle_name": "RACHEL",
"name_prefix": "Mrs.",
"name_suffix": "I",
"credential": "MPAS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ennis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.