Active NPI
Shu Jane Yu, MS, RD, LDN, CDE
- Registered Dietitian
- St. Louis, MO
National Provider Identifier
1144382995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2001005667
- Practice address
- 11133 Dunn Rd
St. Louis, MO 63136-6119 - Phone
- (314) 653-5934
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2001005667 | MO | Primary |
Addresses
Primary practice location
11133 Dunn Rd
St. Louis, MO 63136-6119
Mailing address
11133 Dunn Rd
St. Louis, MO 63136-9611
Phone (314) 653-5934
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001005667 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Hospital Illinois Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Edwardsville, IL
- NPI 1023100195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1144382995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11133 DUNN RD",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631369611",
"telephone_number": "314-653-5934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11133 DUNN RD",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631366119",
"telephone_number": "314-653-5934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "SHU JANE",
"name_prefix": "Mrs.",
"credential": "MS, RD, LDN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2001005667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.