Alyce S Yoder, R.D., C.D.

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

37000796A Issued in IN

Practice address

11104 Parkview Circle Dr
Suite 330
Fort Wayne, IN 46845-1730

Phone

(888) 543-6397

NPI assigned

Mar 20, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1003158783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14831 FLINT CREEK XING",
            "city": "LEO",
            "state": "IN",
            "postal_code": "467659236",
            "telephone_number": "260-494-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 PARKVIEW CIRCLE DR",
            "address_2": "SUITE 330",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451730",
            "telephone_number": "888-543-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "ALYCE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "R.D., C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37000796A",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IN",
            "license": "37000796A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Capri Yingst, SLP
• Ymoa Inc
• Jeffrey A Yngstrom, M.D.
• Brian M. Yochim, PA-C
• Aaron Yoder
• Amy D Yoder, CCC-SLP
• Andrea F Yoder, CNM
• Ashley Noelle Yoder
• Benjamin Joseph Yoder, DDS
• Conner Yoder, RDN, LD

• Renal Nutrition Registered Dietitian in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Renal Nutrition Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.