JEAN RENE YATES-HALBERT (NPI# 1831197342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831197342 |
| Entity Type | Individual |
| Full Name | JEAN RENE YATES-HALBERT |
| Other Name | RENE HALBERT |
| Credential | P.A. |
| Practice Address |
520 Douglas Blvd Tyler TX 75702-8307 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9035931721 |
| Mailing Telephone | 9033246400 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2017-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00602 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8071NR | 01 |
| TX | BCBS | 8983NM | 01 |
| TX | RAIL ROAD MEDICARE | P01434527 | 01 |
| TX | 334524102 | 05 | |
| TX | TRICARE | 75-0818167-022 | 01 |
| TX | TRICARE | 751976930005 | 01 |
| TX | BCBS | 8987NU | 01 |
| TX | 334524103 | 05 | |
| TX | 334524105 | 05 | |
| TX | TRICARE | 75-0818167-015 | 01 |
| TX | TRICARE | 75-2616977-002 | 01 |
| TX | BCBS | 8590NP | 01 |
| TX | RAIL ROAD MEDICARE | P01635747 | 01 |
| TX | TRICARE | 75-2616977-007 | 01 |
| TX | TRICARE | 75-2616977-028 | 01 |
| TX | RAIL ROAD MEDICARE | P01479468 | 01 |
| TX | TRICARE | 75-0818167-048 | 01 |
| Street Address |
520 DOUGLAS BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316555220 | Sherry Mathew | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2020-07-16 |
| 1407487549 | Rosie M Niebuhr | Social Worker | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2020-01-28 |
| 1366899288 | Jeta Laurie Bowman | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702 | 2016-05-20 |
| 1679944946 | Laura Beth Sheets | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2015-10-13 |
| 1134596554 | Barakha Yadav Silvia | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2015-09-02 |
| 1184009565 | Alyssa Laurich | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2015-07-27 |
| 1285030981 | Kerri Martin | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-11-07 |
| 1710395819 | Maria Diaz | Pharmacist | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-08-01 |
| 1487072120 | Katie Storrs | Physician Assistant | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-03-31 |
| 1255757175 | Amia Taylor | Social Worker | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2014-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033277884 | Stephen Randall Hammock | Physician Assistant | 225 Bunker Dr, Tyler, TX 75703-8873 | 2006-12-05 |
| 1285687004 | Luann Elizabeth Weber | Physician Assistant | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| 1902317498 | Brittany Lauren Healey | Physician Assistant | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2017-10-24 |
| 1891237962 | William Elias Mirabal | Physician Assistant | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2016-11-07 |
| 1518321066 | Kathryn Thorkelson | Physician Assistant | 700 Olympic Plaza Cir Ste 407, Tyler, TX 75701-1952 | 2016-04-11 |
| 1942661756 | Olivia Lane Urben Snodgrass | Physician Assistant | 700 Olympic Plaza Cir, Suite 510, Tyler, TX 75701-1951 | 2016-03-08 |
| 1053785568 | Natalie Shea Williams | Physician Assistant | 1020 E Idel St, Tyler, TX 75701-2024 | 2015-11-20 |
| 1467829440 | Jessica Atkinson | Physician Assistant | 5414 S Broadway Ave, Tyler, TX 75703-1335 | 2015-08-26 |
| 1366849101 | Elizabeth Cross Roe | Physician Assistant | 2017 Rickety Ln, Tyler, TX 75703-1706 | 2014-11-21 |
| 1760890693 | Neal Alton Burgess | Physician Assistant | 700 Olympic Plaza Cir, Suite 700, Tyler, TX 75701-1951 | 2014-07-23 |
| Find all providers in TYLER | ||||
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| 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.