MEDICARE: JOANNA YATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1194683888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA YATES

Provider Business Mailing Address
First Line	:	2002 W 18TH ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-2180
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2002 W 18TH ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-2180
Country	:	US
Telephone Number	:	308-571-4830
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ JOANNA YATES ” Practice Location

Language	Start Address	Practice Location

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