Individual provider Active NPI

Yvonne H. Krielow, NP

  • Family Nurse Practitioner
  • Welsh, LA
National Provider Identifier
1881692218
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO3973 Issued in LA
Practice address
708 E Russell Ave
Welsh, LA 70591-4844
Phone
(337) 734-4500
Fax
(337) 734-4400
NPI assigned
Jul 11, 2005
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APO3973 LA Primary

Addresses

Primary practice location

708 E Russell Ave
Welsh, LA 70591-4844

Mailing address

708 E Russell Ave
Welsh, LA 70591-4844
Phone (337) 734-4500

Other identifiers 1

IdentifierTypeStateIssuer
1141046MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040303000612 LA Practitioner - Nurse Practitioner 0648167684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

708 E Russell Ave
The Clinic of Welsh
Welsh, LA 70591-4844
Phone (337) 734-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO3973LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Medical Services Family Practice Associates, LLC CurrentSince May 24, 2023 Accepting new patients
Welsh Family Practice Clinic Family Past Accepting new patients
Mark E. Clawson M.D. P.C. Past Accepting new patients

Locations

1890 W Gauthier Rd
Ste 155
Lake Charles, LA 70605
Phone (337) 477-6061

708 E Russell Ave
Welsh, LA 70591
Phone (337) 734-4500

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1881692218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E RUSSELL AVE",
            "city": "WELSH",
            "state": "LA",
            "postal_code": "705914844",
            "telephone_number": "337-734-4500",
            "fax_number": "337-734-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E RUSSELL AVE",
            "city": "WELSH",
            "state": "LA",
            "postal_code": "705914844",
            "telephone_number": "337-734-4500",
            "fax_number": "337-734-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIELOW",
        "first_name": "YVONNE",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO3973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1141046",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Welsh, LA

Sources for this page

Verify at the official NPI Registry.