Deborah Jane Yannascoli, MA, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

002428-1 Issued in NY

Practice address

7000 E Genesee St
BLDG C
Fayetteville, NY 13066-1131

Phone

(315) 251-1035

Fax

(315) 251-1035

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245310028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8543 LAMP POST CIR",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049389",
            "telephone_number": "315-682-4116",
            "fax_number": "315-682-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 E GENESEE ST",
            "address_2": "BLDG C",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661131",
            "telephone_number": "315-251-1035",
            "fax_number": "315-251-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNASCOLI",
        "first_name": "DEBORAH",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MA, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "002428-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.