Individual provider Active NPI

Kimberly Ann Yoes, APN

  • Adult Health Nurse Practitioner
  • Port Neches, TX
National Provider Identifier
1902945330
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
684913 Issued in TX
Practice address
882 Sierra Dr
Port Neches, TX 77651-5607
Phone
(409) 722-1234
Fax
(877) 831-8991
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP115170 TX
Adult Health Nurse Practitioner 363LA2200X 684913 TX Primary

Addresses

Primary practice location

882 Sierra Dr
Port Neches, TX 77651-5607

Mailing address

882 Sierra Dr
Port Neches, TX 77651-5607
Phone (409) 722-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20121029000614 TX Practitioner - Nurse Practitioner 2163672155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mid-County Family Care PLLCGroup PAC ID 0648583583, 2 clinicians

Practice addresses (Care Compare)

882 Sierra Dr
Port Neches, TX 77651-5607
Phone (409) 722-1234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
684913TXMDAdult Health Nurse Practitioner
AP115170TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-County Family Care PLLC Family CurrentSince Aug 1, 2015 Accepting new patients
Houston Neurological Institute LLP PastSince Aug 1, 2015 Accepting new patients

Locations

882 Sierra Dr
Port Neches, TX 77651
Phone (409) 722-1234

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902945330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 SIERRA DR",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776515607",
            "telephone_number": "409-722-1234",
            "fax_number": "877-831-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 SIERRA DR",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776515607",
            "telephone_number": "409-722-1234",
            "fax_number": "877-831-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOES",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115170",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "684913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Neches, TX

Sources for this page

Verify at the official NPI Registry.