Individual provider Active NPI

Linda Yerardi, REGISTERED DIETITIAN

  • Metabolic Nutrition Registered Dietitian
  • Hagerstown, MD
National Provider Identifier
1093381402
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
DX2422 Issued in MD
Practice address
11110 Medical Campus Rd Ste 108
Hagerstown, MD 21742-6734
Phone
(301) 956-9867
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X DX2422 MD
Registered Dietitian 133V00000X DX2422 MD
Gerontological Nutrition Registered Dietitian 133VN1101X DX2422 MD
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X DX2422 MD
Metabolic Nutrition Registered Dietitian 133VN1006X DX2422 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 108
Hagerstown, MD 21742-6734

Mailing address

6106 Baldridge Ter
Frederick, MD 21701-5858
Phone (301) 956-9867

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

State licenses

LicenseStateTypeSpecialty
DX2422MDMDMetabolic Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1093381402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 BALDRIDGE TER",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015858",
            "telephone_number": "301-956-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 108",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426734",
            "telephone_number": "301-956-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERARDI",
        "first_name": "LINDA",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MD",
            "license": "DX2422",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX2422",
            "primary": false
        },
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "MD",
            "license": "DX2422",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "MD",
            "license": "DX2422",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MD",
            "license": "DX2422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.