Kimberly Ann Yates, MAE, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL 1902 Issued in FL

Practice address

8945 W Colonial Dr
Ocoee, FL 34761-6918

Phone

(407) 822-7506

Fax

(407) 822-7507

NPI assigned

Apr 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cora Health Services, Inc

  dba CORA Physical Therapy-Stoneybrook

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)
• Cora Health Services, Inc

  • Athletic Trainer
  • Lake Placid, FL
  • NPI 1831234350
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710943915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 STUCKI TER",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874295",
            "telephone_number": "772-215-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616918",
            "telephone_number": "407-822-7506",
            "fax_number": "407-822-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MAE, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 1902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "AL 1902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wyld Oak Care and Support Inc.
• Samantha Xavier, MD
• Payalben Yadav
• Erica Taylor Yang, M.D.
• Barry Stuart Yarckin, MD
• Ethan Yoder, PA-C
• Ida-Sofie Ytrestoyl
• Jordan Yuhas
• Tahir Mahmood Yunus, M.D.
• John Zargari

• Athletic Trainer in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.