Active NPI
Anthony Lee Yates, CSAC
- Addiction (Substance Use Disorder) Counselor
- Kurtistown, HI
National Provider Identifier
1962835165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1657-11
- Practice address
- 16-759 Wao Kele St.
Kurtistown, HI 96760-0711 - Phone
- (808) 936-4382
- NPI assigned
- Aug 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1657-11 | HI | Primary |
Addresses
Primary practice location
16-759 Wao Kele St.
Kurtistown, HI 96760-0711
Mailing address
PO Box 711
Kurtistown, HI 96760-0711
Phone (808) 936-4382
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1657-11 | HI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1962835165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711",
"city": "KURTISTOWN",
"state": "HI",
"postal_code": "967600711",
"telephone_number": "808-936-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16-759 WAO KELE ST.",
"city": "KURTISTOWN",
"state": "HI",
"postal_code": "967600711",
"telephone_number": "808-936-4382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "ANTHONY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "CSAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-12",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "HI",
"license": "1657-11",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kurtistown, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.