Nicole Cerutti Yazdi, MA, R-DMT, LCAT-LP

Primary specialty

Dance TherapistTaxonomy code 225600000X

License

R-DMT-2266

Practice address

1150 Maxwell Ave Ste 200
Boulder, CO 80304-4185

Phone

(800) 261-0127

NPI assigned

Sep 27, 2017

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083123574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MAXWELL AVE STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044185",
            "telephone_number": "800-261-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MAXWELL AVE STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044185",
            "telephone_number": "800-261-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1366 Inwood Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104523203",
            "country_code": "US",
            "telephone_number": "929-288-4320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAZDI",
        "first_name": "NICOLE",
        "middle_name": "CERUTTI",
        "credential": "MA, R-DMT, LCAT-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": null,
            "license": "R-DMT-2266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pei Fen Yan
• Brenda Lee Yang, RN, MA, LPC
• Marie A Yarrington, LCSW
• Caila Yates, MS, RDN
• Jordan Anthony Yates, LPC, ATR
• David A. Yeats, L.C.S.W.
• Jesse Lynne Yedinak
• Erin Kathryn Yee, RN
• Noel Yegian, LPC
• Quinn Yen, DO

• Dance Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Dance Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.