Individual provider Active NPI

Joe Allen Yates, F.N.P.

  • Family Medicine Physician
  • Haskell, TX
National Provider Identifier
1861401853
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
237708 Issued in TX
Practice address
1417 North 1St Street Suite a
Haskell, TX 79521-0938
Phone
(940) 864-2636
Fax
(940) 864-3009
NPI assigned
Aug 7, 2006
Last updated
May 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X
Family Medicine Physician 207Q00000X 237708 TX Primary

Addresses

Primary practice location

1417 North 1St Street Suite a
Haskell, TX 79521-0938

Mailing address

1417 North 1St Street Suite a
Haskell, TX 79521-0938
Phone (940) 864-2636

Other identifiers 3

IdentifierTypeStateIssuer
122546801MedicaidTX
063645801MedicaidTX
0049REOtherTXBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haskell County Hospital Current Accepting new patients
Haskell County Hospital Rural Health CurrentSince Feb 1, 2012 Accepting new patients
Haskell County Hospital CurrentSince Feb 1, 2012 Accepting new patients
Charles W Cadenhead M D Rural Health Past Accepting new patients

Locations

1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321

1417 N 1st St
Haskell, TX 79521
Phone (940) 228-0612

1417 N 1st St
Ste A
Haskell, TX 79521
Phone (940) 864-2636

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1861401853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 NORTH 1ST STREET SUITE A",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "795210938",
            "telephone_number": "940-864-2636",
            "fax_number": "940-864-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 NORTH 1ST STREET SUITE A",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "795210938",
            "telephone_number": "940-864-2636",
            "fax_number": "940-864-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "JOE",
        "middle_name": "ALLEN",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "237708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122546801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063645801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0049RE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haskell, TX

Sources for this page

Verify at the official NPI Registry.