Shaina Sara Yohannan, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

9028 NW 84TH St
Yukon, OK 73099-8677

Phone

(405) 824-9760

NPI assigned

Oct 1, 2020

Sex

Female

Sole proprietor

No

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.

• Sodexo Operations LLC

  • Registered Dietitian
  • Morrisville, PA
  • NPI 1528034436

  Dietitian, Registered

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2020.

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1154928216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9028 NW 84TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998677",
            "telephone_number": "405-824-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9028 NW 84TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998677",
            "telephone_number": "405-824-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOHANNAN",
        "first_name": "SHAINA",
        "middle_name": "SARA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "9028 NW 84th St",
            "city": "Yukon",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730998677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Anne Yates, DPT
• Yco Clinton, Inc.
• Yco Tulsa
• Yco Tulsa, Inc.
• Yith Geriatrics Rehab& Well-Being Services PLLC
• Nathaniel Aaron Yokell, MD
• Mackenzie York
• Cheryl Dawn Young, OT
• Jina L Young, MED, LADC, LPC
• Nathan Dale Young, PRSS, CMII

• All providers in Yukon, OK
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.