Physician Compare National (NPI:1053944025)

HEALTHCARE PROVIDER: DAWN YATES APRN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053944025
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507288065
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200630000698
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YATES
	Individual professional last name
Provider First Name	DAWN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	593 S HORSEBARN RD
	Group Practice or individual's line 1 address
Line 2 Street Address	101 INT MEDICAL
	Group Practice or individual's line 2 address
City	ROGERS
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	727588797
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4792719191
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y