Individual provider Active NPI

Steven Yath, RN

  • Registered Nurse
  • Eagle Lake, MN
National Provider Identifier
1881263366
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2487418 Issued in MN
Practice address
208 Hunters CT
Eagle Lake, MN 56024-7602
Phone
(507) 779-4561
NPI assigned
Jun 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2487418 MN Primary

Addresses

Primary practice location

208 Hunters CT
Eagle Lake, MN 56024-7602

Mailing address

208 Hunters CT
Eagle Lake, MN 56024-7602
Phone (507) 779-4561

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL azariabeautys.com Direct

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2487418MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1881263366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HUNTERS CT",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560247602",
            "telephone_number": "507-779-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 HUNTERS CT",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560247602",
            "telephone_number": "507-779-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATH",
        "first_name": "STEVEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2487418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "azariabeautys.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "208 Hunters Ct",
            "city": "Eagle Lake",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560247602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eagle Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.