Organization Active NPI

Karen L Yates MD PC

  • Specialist
  • Prescott, AZ
National Provider Identifier
1922270438
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
23760 Issued in AZ
Legal business name
KAREN L YATES MD PC
Practice address
141 S McCormick St Ste 108
Prescott, AZ 86303-4730
Phone
(928) 771-0555
Fax
(928) 771-0444
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Karen L Yates, MD
Title
Owner
Phone
(928) 771-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 23760 AZ Primary

Addresses

Primary practice location

141 S McCormick St Ste 108
Prescott, AZ 86303-4730

Mailing address

141 S McCormick St Ste 108
Prescott, AZ 86303-4730
Phone (928) 771-0555

Other identifiers 1

IdentifierTypeStateIssuer
23760OtherAZLICENSE

National Provider Directory

National Provider Directory

Locations

141 S McCormick St
Ste 108
Prescott, AZ 86303
Phone (520) 771-0555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1922270438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S MCCORMICK ST STE 108",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034730",
            "telephone_number": "928-771-0555",
            "fax_number": "928-771-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MCCORMICK ST STE 108",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034730",
            "telephone_number": "928-771-0555",
            "fax_number": "928-771-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN L YATES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-771-0555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "23760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "23760",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.