Individual provider Active NPI

Leah Nicole Yates-Willis, CPS

  • Specialist
  • Lawrenceburg, TN
National Provider Identifier
1780862383
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1090 Old Florence Rd
Lawrenceburg, TN 38464
Phone
(931) 762-6505
Fax
(931) 766-1843
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1090 Old Florence Rd
Lawrenceburg, TN 38464

Mailing address

1090 Old Florence Rd
Lawrenceburg, TN 38464
Phone (931) 762-6505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1780862383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 OLD FLORENCE RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "38464",
            "telephone_number": "931-762-6505",
            "fax_number": "931-766-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 OLD FLORENCE RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "38464",
            "telephone_number": "931-762-6505",
            "fax_number": "931-766-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES-WILLIS",
        "first_name": "LEAH",
        "middle_name": "NICOLE",
        "credential": "CPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.