Yvonne Rachelle Stanovich, MS, RD. LD
Individual provider Active NPI Registered Dietitian · Spencerville, OH
NPI 1053093229 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1053093229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD.09604 (OH)
- Practice address
- 06754 Deep Cut Rd
Spencerville, OH 45887-9374 - Phone
- (269) 332-3427
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD.09604 | OH | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD.09604 | OH | Yes |
Addresses
Primary practice location
06754 Deep Cut Rd
Spencerville, OH 45887-9374
Mailing address
06754 Deep Cut Rd
Spencerville, OH 45887-9374
Phone (269) 332-3427
Other providers in Spencerville, OH
- Connie S Rupert
- Spencerville Ambulance Service
- Spencerville Dental Associates
- Spencerville Local School District
- Spencerville Physicians, LTD
- Y and B Drug Inc
All providers in Spencerville, OH · Registered Dietitian in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.