AMY YEATES DNP NPI 1477911634

NPI Information

NPI: 1477911634
Provider Name: AMY YEATES, DNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5230 S 6TH STREET RD
SPRINGFIELD, IL
ZIP 62703
Phone: (217) 585-1180
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Amy Yeates, DNP is a psychiatric/mental health nurse practitioner in Springfield, IL with 9 years of experience. Amy Yeates, DNP NPI is 1477911634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2015

The provider's business location address is:

5230 S 6TH STREET RD
SPRINGFIELD, IL
ZIP 62703-128
Phone: (217) 585-1180
Fax: (217) 585-4747

The NPI 1477911634 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 2/3/2016 and was last updated on 2/21/2017.

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	363L00000X	Nurse Practitioner		209013791	ILLINOIS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209013791	ILLINOIS	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	209013791	OTHER	ILLINOIS	NURSE PRACTITIONER
2	041232199	OTHER	ILLINOIS	REGISTERED NURSE

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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