Active NPI
Halle Yates, COTA
- Occupational Therapy Assistant
- Dallas Center, IA
National Provider Identifier
1871018556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 081298
- Practice address
- 1204 Linden St
Dallas Center, IA 50063 - Phone
- (515) 992-3735
- NPI assigned
- Aug 3, 2017
- Last updated
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 081298 | IA | Primary |
Addresses
Primary practice location
1204 Linden St
Dallas Center, IA 50063
Mailing address
6455 Galleria Dr Apt 3104
West Des Moines, IA 50266-6694
Phone (515) 681-2622
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 |
|---|---|---|---|
| 081298 | IA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501718400000",
"number": "1871018556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6455 GALLERIA DR APT 3104",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502666694",
"telephone_number": "515-681-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 LINDEN ST",
"city": "DALLAS CENTER",
"state": "IA",
"postal_code": "50063",
"telephone_number": "515-992-3735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "HALLE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2017-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IA",
"license": "081298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas Center, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.