MISS DORCAS ANN YATES RN CFNP NPI 1003889254

NPI Information

  • NPI: 1003889254
  • Provider Name: MISS DORCAS ANN YATES, RN CFNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1010 E ROOSEVELT AVE
    GRANTS, NM
    ZIP 87020
  • Phone: (505) 287-2948

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NPI Details

MISS Dorcas Ann Yates, RN CFNP is a family nurse practitioner in Grants, NM with 50 years of experience. MISS Dorcas Ann Yates, RN CFNP NPI is 1003889254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year:1976

The provider's business location address is:

1010 E ROOSEVELT AVE
GRANTS, NM
ZIP 87020-118
Phone: (505) 287-2948
Fax: (505) 287-5372

The NPI 1003889254 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 12/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR15456NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12371757MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICO
2P22804MEDICARE UPINNEW MEXICO
385-0286828OTHERNEW MEXICOFEDERAL TAX ID
444636MEDICAIDNEW MEXICO
5G0667MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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