Active NPI
Mara Clark Yolken, ANP
- Adult Health Nurse Practitioner
- Bishop, CA
National Provider Identifier
1972724003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11089
- Practice address
- 153 Pioneer LN # B
Rural Health Clinic
Bishop, CA 93514-2557 - Phone
- (760) 873-2849
- Fax
- (760) 873-2836
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11089 | CA | Primary |
Addresses
Primary practice location
153 Pioneer LN # B
Rural Health Clinic
Bishop, CA 93514-2557
Mailing address
153 Pioneer LN # B
Rural Health Clinic
Bishop, CA 93514-2557
Phone (760) 873-2849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110406000711 | CA | Order and Referring Only - Nurse Practitioner | 8729262373 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11089 | CA | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972724003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 PIONEER LN # B",
"address_2": "RURAL HEALTH CLINIC",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142557",
"telephone_number": "760-873-2849",
"fax_number": "760-873-2836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 PIONEER LN # B",
"address_2": "RURAL HEALTH CLINIC",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142557",
"telephone_number": "760-873-2849",
"fax_number": "760-873-2836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOLKEN",
"first_name": "MARA",
"middle_name": "CLARK",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "11089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bishop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.