Active NPI
Yessenia Catherine Jurado, CD-N
- Nutritionist
- Corona, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 011458
- Practice address
- 3712 108TH St
Corona, NY 11368-2025 - Phone
- (718) 651-4000
- NPI assigned
- Dec 22, 2019
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 011458 | NY | Primary |
Addresses
Primary practice location
3712 108TH St
Corona, NY 11368-2025
Mailing address
3712 108TH St
Corona, NY 11368-2025
Phone (718) 651-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011458 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Health Plan, Inc. | Current | Accepting new patients | |
| Urban Health Plan, Inc. | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Health Educator | Current | Accepting new patients |
| Urban Health Plan, Inc. | Current | Accepting new patients |
Locations
1515 Southern Blvd
#H
Bronx, NY 10460
Phone (718) 589-1600
866 E Tremont Ave
Bronx, NY 10460
Phone (347) 284-0595
1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222
882 Hunts Point Ave
Bronx, NY 10474
Phone (347) 503-7935
890 Hunts Point Ave
Bronx, NY 10474
Phone (718) 589-2141
1515 Southern Blvd
Bronx, NY 10460
Phone (718) 589-1600
3209 3rd Ave
Bronx, NY 10451
Phone (347) 284-0203
960 Southern Blvd
Bronx, NY 10459
Phone (347) 331-6572
1967 Turnbull Ave
Bronx, NY 10473
Phone (718) 684-1320
1764 Westchester Ave
Bronx, NY 10472
Phone (347) 407-7166
271 E 138th St
Bronx, NY 10454
Phone (347) 407-7120
3712 108th St
Corona, NY 11368
Phone (718) 639-4107
154 W 127th St
New York, NY 10027
Phone (212) 280-0804
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1265596548
-
dba Metropolitan Hospital Center
- General Acute Care Hospital
- New York, NY
- NPI 1235764622
Health Educator
-
dba Park Tree Community Health Center
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1386247542
-
dba Plaza del Sol Family Health Center
- Federally Qualified Health Center (FQHC)
- Corona, NY
- NPI 1710125141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1235778291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3712 108TH ST",
"city": "CORONA",
"state": "NY",
"postal_code": "113682025",
"telephone_number": "718-651-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3712 108TH ST",
"city": "CORONA",
"state": "NY",
"postal_code": "113682025",
"telephone_number": "718-651-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURADO",
"first_name": "YESSENIA",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "CD-N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-22",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "011458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.