Individual provider Active NPI

Yvette Rae Hollett, MD

  • Otolaryngology Physician
  • Walla Walla, WA
National Provider Identifier
1750744108
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
61128145 Issued in WA
Practice address
1017 S 2ND Ave Ste 4
Walla Walla, WA 99362-4183
Phone
(509) 897-8400
NPI assigned
Apr 3, 2016
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Otolaryngology Physician 207Y00000X 61128145 WA Primary

Addresses

Primary practice location

1017 S 2ND Ave Ste 4
Walla Walla, WA 99362-4183

Mailing address

374 S 1St Ave
Walla Walla, WA 99362-3014
Phone (757) 315-7227

Other names 1

  • Dr. Yvette Rae Hollett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913000190 WA Practitioner - Otolaryngology 6608163217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Nevada School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1017 S 2ND Ave
Suite 4
Walla Walla, WA 99362-4183
Phone (509) 897-8400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61128145WAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington CurrentSince Aug 16, 2021 Accepting new patients
Providence Health & Services - Washington CurrentSince Aug 16, 2021 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1017 S 2nd Ave
Ste 1
Walla Walla, WA 99362
Phone (509) 525-4900

1017 S 2nd Ave
Ste 4
Walla Walla, WA 99362
Phone (509) 529-4850

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

Interoperability endpoints

  • Direct secure messaging: yanderson627455@wm.providencedirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1750744108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 S 1ST AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623014",
            "telephone_number": "757-315-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S 2ND AVE STE 4",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624183",
            "telephone_number": "509-897-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLETT",
        "first_name": "YVETTE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "61128145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVETTE",
            "last_name": "HOLLETT",
            "middle_name": "RAE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.