MS. PATRICIA KPAN YATES RN NPI 1104018969

NPI Information

NPI: 1104018969
Provider Name: MS. PATRICIA KPAN YATES, RN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5026 ACORN FOREST LN
CHARLOTTE, NC
ZIP 28269
Phone: (704) 599-0662
Get Directions

MS. Patricia Kpan Yates, RN is a family nurse practitioner in Charlotte, NC with 7 years of experience. MS. Patricia Kpan Yates, RN NPI is 1104018969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5026 ACORN FOREST LN
CHARLOTTE, NC
ZIP 28269-732
Phone: (704) 599-0662

The NPI 1104018969 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 8/15/2007 and was last updated on 8/31/2023.

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
1	163W00000X	Registered Nurse		202489	NORTH CAROLINA	No
2	374U00000X	Home Health Aide		202489	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	5011578	NORTH CAROLINA	Yes

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
1	5011578	OTHER	NORTH CAROLINA	AANP

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: 4/28/2024

NPI Synchronization or Removal

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