Active NPI
Yessenia Allison Juarez, RD, LDN
- Registered Dietitian
- Labelle, FL
National Provider Identifier
1184435356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND11130
- Practice address
- 1875 Evans Rd
Labelle, FL 33935-9567 - Phone
- (863) 234-6940
- NPI assigned
- Jan 16, 2025
- Last updated
- Jan 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | ND11130 | FL | Primary |
Addresses
Primary practice location
1875 Evans Rd
Labelle, FL 33935-9567
Mailing address
1875 Evans Rd
Labelle, FL 33935-9567
Phone (863) 234-6940
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND11130 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1184435356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 EVANS RD",
"city": "LABELLE",
"state": "FL",
"postal_code": "339359567",
"telephone_number": "863-234-6940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 EVANS RD",
"city": "LABELLE",
"state": "FL",
"postal_code": "339359567",
"telephone_number": "863-234-6940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "YESSENIA",
"middle_name": "ALLISON",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND11130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Labelle, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.