AMY YEATES (NPI# 1477911634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477911634 |
| Entity Type | Individual |
| Full Name | AMY YEATES |
| Credential | DNP |
| Practice Address |
5230 S 6th Street Rd Springfield IL 62703-5128 |
| Practice Telephone | 2175851180 |
| Practice Fax Number | 2175854747 |
| Mailing Telephone | 2175851180 |
| Mailing Fax Number | 2175854747 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209013791 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209013791 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | REGISTERED NURSE | 041232199 | 01 |
| IL | NURSE PRACTITIONER | 209013791 | 01 |
| Street Address |
5230 S 6TH STREET RD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033397138 | Springfield Hospital, Inc. | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2008-01-31 |
| 1649891102 | Amelia Johnson | Counselor | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2020-05-06 |
| 1184175341 | Debra L Smith | Counselor | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2016-10-21 |
| 1306247861 | Brian Stoops | Social Worker | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2014-09-15 |
| 1295156255 | Ilana Grenda | Counselor | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2013-12-18 |
| 1417386699 | Sandra Lancaster | Counselor | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2013-11-07 |
| 1619318557 | Springfield Hospital Inc | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2013-07-08 |
| 1457691297 | Ember Beddingfield | Counselor | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2013-02-14 |
| 1912254087 | Ashley M Ribaudo | Nurse Practitioner | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2012-08-08 |
| 1407126352 | Springfield Hospital, Inc. | Social Worker | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2012-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
| 1477178978 | Eric Avent | Nurse Practitioner | 111 5th Ave W Ste 103, Springfield, TN 37172-2428 | 2020-06-10 |
| 1043722770 | Mary Catherine Knutson | Nurse Practitioner | 1201 S 4th St, Springfield, IL 62703-2228 | 2017-11-03 |
| 1922422617 | Azuka Ofodike | Nurse Practitioner | 31 Tooker Pl, Springfield, NJ 07081-2227 | 2014-02-14 |
| 1306117189 | Mark Anthony Lynch | Nurse Practitioner | 7108 Neuman St, Springfield, VA 22150-4419 | 2012-01-25 |
| 1609100973 | Cindy Michael | Nurse Practitioner | 841 E Northern Ave, Springfield, OH 45503-3848 | 2009-09-18 |
| 1811097058 | Jain A Lattes | Nurse Practitioner | 3300 Main St Fl 4, Springfield, MA 01107-1112 | 2006-09-25 |
| 1174540504 | Johnson Komolafe | Nurse Practitioner | 7011 Calamo St, #105, Springfield, VA 22150 | 2006-07-15 |
| 1083648604 | Dawn M Vanderhoef | Nurse Practitioner | 713 Cheatham St, Springfield, TN 37172-2828 | 2006-07-10 |
| 1316992019 | Ruben Montanez | Nurse Practitioner | 1695 Main St Fl 400, Springfield, MA 01103-1063 | 2006-05-23 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on AMY YEATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.