Individual provider Active NPI

Laura Beth Yatvin, RD CDE

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1063678902
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN000706 Issued in PA
Practice address
6391 Overbrook Ave
Philadelphia, PA 19151-2509
Phone
(215) 477-4173
Fax
(215) 546-5701
NPI assigned
Jul 30, 2008
Last updated
Jul 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN000706 PA Primary

Addresses

Primary practice location

6391 Overbrook Ave
Philadelphia, PA 19151-2509

Mailing address

6391 Overbrook Ave
Philadelphia, PA 19151-2509
Phone (215) 477-4173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1063678902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6391 OVERBROOK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512509",
            "telephone_number": "215-477-4173",
            "fax_number": "215-546-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6391 OVERBROOK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512509",
            "telephone_number": "215-477-4173",
            "fax_number": "215-546-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATVIN",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "RD CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000706",
            "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 Jul 30, 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.

Verify at the official NPI Registry.