Active NPI
Christine Yip, MS, RD, CDCES
- Registered Dietitian
- Massapequa, NY
National Provider Identifier
1194482588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86022194
- Practice address
- 15 Margaret Rd
Massapequa, NY 11758-1905 - Phone
- (917) 495-9967
- NPI assigned
- Nov 20, 2021
- 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 | 86022194 | NY | Primary |
Addresses
Primary practice location
15 Margaret Rd
Massapequa, NY 11758-1905
Mailing address
15 Margaret Rd
Massapequa, NY 11758-1905
Phone (917) 495-9967
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86022194 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637366400000",
"number": "1194482588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MARGARET RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117581905",
"telephone_number": "917-495-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MARGARET RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117581905",
"telephone_number": "917-495-9967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIP",
"first_name": "CHRISTINE",
"credential": "MS, RD, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-20",
"last_updated": "2021-11-20",
"certification_date": "2021-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86022194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.