Active NPI
Linda Yatak
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1790496131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN255106
- Practice address
- 652 Bellemeade Ave NW
Atlanta, GA 30318-3102 - Phone
- (678) 705-8166
- NPI assigned
- Dec 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN255106 | GA | Primary |
Addresses
Primary practice location
652 Bellemeade Ave NW
Atlanta, GA 30318-3102
Mailing address
652 Bellemeade Ave NW
Atlanta, GA 30318
Other practice location 1
679 Embry Ln
Marietta, GA 30066-3721
Phone (985) 212-1749
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN255106 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nila4 LLC | Single Specialty | Current | Accepting new patients |
| GPC Psychiatry | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1790496131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 BELLEMEADE AVE NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 BELLEMEADE AVE NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303183102",
"telephone_number": "678-705-8166"
}
],
"practiceLocations": [
{
"address_1": "679 Embry Ln",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300663721",
"country_code": "US",
"telephone_number": "985-212-1749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YATAK",
"first_name": "LINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-07",
"last_updated": "2023-01-11",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN255106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.