Active NPI
Kimberly S Yarnall, DC
- Chiropractor
- East Stroudsburg, PA
National Provider Identifier
1952400657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007587L
- Practice address
- 600 Plaza CT
East Stroudsburg, PA 18301-8263 - Phone
- (570) 517-0511
- NPI assigned
- Sep 21, 2006
- Last updated
- Apr 13, 2020
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007587L | PA | Primary |
Addresses
Primary practice location
600 Plaza CT
East Stroudsburg, PA 18301-8263
Mailing address
600 Plaza CT
East Stroudsburg, PA 18301-8263
Phone (570) 421-7020
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017615820001 | Medicaid | PA | |
| FI595237 | Other | PA | BLUE CROSS |
| 7185168 | Other | PA | AETNA |
| 800017119 | Other | PA | ASHN |
| 814648 | Other | PA | FIRST PRIORITY HEALTH |
| P3399574 | Other | PA | OXFORD |
| 60937 | Other | PA | GEISNGER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC007587L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1952400657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PLAZA CT",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183018263",
"telephone_number": "570-421-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PLAZA CT",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183018263",
"telephone_number": "570-517-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARNALL",
"first_name": "KIMBERLY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007587L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017615820001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "FI595237",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7185168",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "800017119",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "814648",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3399574",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISNGER",
"identifier": "60937",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.