Active NPI
Laura Yatvin Nutrition Services
- Clinic/Center
- Philadelphia, PA
National Provider Identifier
1003052358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LAURA YATVIN NUTRITION SERVICES
- Practice address
- 4231 N. 5TH Street
Philadelphia, PA 19140 - Phone
- (215) 455-5370
- Fax
- (215) 455-5374
- NPI assigned
- Dec 16, 2008
- Organization subpart
- Yes
- Parent organization
- LA FORTALEZA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Laura Yatvin, RD
- Title
- Dietitian
- Phone
- (215) 455-5370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
4231 N. 5TH Street
Philadelphia, PA 19140
Mailing address
4231 N. 5TH Street
Philadelphia, PA 19140
Phone (215) 455-5370
National Provider Directory
National Provider Directory- Part of
- La Fortaleza Physical Therapy Center Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229385600000",
"number": "1003052358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4231 N. 5TH STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19140",
"telephone_number": "215-455-5370",
"fax_number": "215-455-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4231 N. 5TH STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19140",
"telephone_number": "215-455-5370",
"fax_number": "215-455-5374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA YATVIN NUTRITION SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LA FORTALEZA",
"enumeration_date": "2008-12-16",
"last_updated": "2008-12-16",
"status": "A",
"authorized_official_last_name": "YATVIN",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "DIETITIAN",
"authorized_official_telephone_number": "215-455-5370",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.