Provider Demographics
NPI:1295523561
Name:YATES, KATIE LEIGH (LPN)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:LEIGH
Last Name:YATES
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 TAYLOR MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9542
Mailing Address - Country:US
Mailing Address - Phone:828-299-8802
Mailing Address - Fax:828-768-4788
Practice Address - Street 1:24 TAYLOR MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9542
Practice Address - Country:US
Practice Address - Phone:828-299-8802
Practice Address - Fax:828-299-8802
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96789164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse