Provider Demographics
NPI:1285522607
Name:ERNESTI-YALE, KRISTIN J
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:J
Last Name:ERNESTI-YALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:
Mailing Address - City:HEMINGFORD
Mailing Address - State:NE
Mailing Address - Zip Code:69348-0667
Mailing Address - Country:US
Mailing Address - Phone:402-616-4445
Mailing Address - Fax:
Practice Address - Street 1:319 BLACK HILLS AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:NE
Practice Address - Zip Code:69301-3209
Practice Address - Country:US
Practice Address - Phone:308-762-1970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker