Yaying Tian, R.D.
Individual provider Active NPI Registered Dietitian · Baldwin, MI
NPI 1174989636 · NPPES record last updated Jan 13, 2016
Key facts
- NPI
- 1174989636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86062286 (MI)
- Practice address
- 1615 Michigan Ave
Baldwin, MI 49304-7984 - Phone
- (231) 745-4624
- Fax
- (231) 745-5031
- NPI assigned
- Jan 13, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86062286 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86062286 | MI | Yes |
Addresses
Primary practice location
1615 Michigan Ave
Baldwin, MI 49304-7984
Mailing address
1615 Michigan Ave
Baldwin, MI 49304-7984
Phone (231) 745-4624
Other providers in Baldwin, MI
- Jurrica Justyne Stanley
- Elizabeth Jean Steckel
- Matthew J Steel
- Cathy Sullivan
- Lisa Marie Thebo
- Denise Marie Tinkham
- Vision of Health & Functional Medicine
- Vision of Health and Functional Medicine PC
- Vision of Health LLC
- Alicia Marie Waganfeald
All providers in Baldwin, MI · Registered Dietitian in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.