Tarina Raechel Yates, B.A.S., CD(DONA)

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

101 S Wall St
Carbondale, IL 62901-3021

Phone

(618) 519-9200

Fax

(618) 519-9404

NPI assigned

May 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1770273880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA ST",
            "address_2": "PO BOX 577",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "62918",
            "telephone_number": "618-519-9200",
            "fax_number": "618-985-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WALL ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013021",
            "telephone_number": "618-519-9200",
            "fax_number": "618-519-9404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Shady Ln",
            "address_purpose": "LOCATION",
            "city": "Murphysboro",
            "state": "IL",
            "postal_code": "629664632",
            "country_code": "US",
            "telephone_number": "618-924-0610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YATES",
        "first_name": "TARINA",
        "middle_name": "RAECHEL",
        "credential": "B.A.S., CD(DONA)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Wright
• Amy M Wyatt, DMD
• Qianqian Xu, M.D.
• Leslie Yambert
• Alex Michael Yankey
• Andrew Joseph Yochum, DO
• Dollean York-Anderson, PH.D.
• Cameron M Yosanovich, APN
• Amber Young
• Yasser Youssef, MD

• Doula in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Doula in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.