Individual provider Active NPI

Christin Denay Yates

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1861954919
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7609 Issued in AZ
Practice address
435 N 5TH St
Phoenix, AZ 85004-2157
Phone
(623) 341-1169
NPI assigned
Apr 5, 2019
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7609 AZ Primary

Addresses

Primary practice location

435 N 5TH St
Phoenix, AZ 85004-2157

Mailing address

18525 W Van Buren St
Goodyear, AZ 85338-5887
Phone (623) 341-1169

Other names 1

  • Mrs. Christin Denay Kirby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191216000890 AZ Practitioner - Physician Assistant 6800220393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7609AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America- Arizona, PC CurrentSince Nov 1, 2019 Accepting new patients
Dispatchhealth-Arizona CurrentSince Dec 5, 2020 Accepting new patients
Arizona Heart Specialists PLLC Past Accepting new patients
Alliance Urgent Care PLLC PastSince Sep 30, 2007 Accepting new patients

Locations

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

1705 W University Dr
Ste 104
Tempe, AZ 85281
Phone (480) 493-3444

40 N Swan Rd
Ste 55
Tucson, AZ 85711
Phone (520) 442-2269

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

Organizations & group practices 5

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": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1861954919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18525 W VAN BUREN ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385887",
            "telephone_number": "623-341-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N 5TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042157",
            "telephone_number": "623-341-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "CHRISTIN",
        "middle_name": "DENAY",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIN",
            "last_name": "KIRBY",
            "middle_name": "DENAY",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.