Yvonne Patricia Teverbaugh, PHD

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

3208 Stamm Ave
Indianapolis, IN 46240-3537

Phone

(317) 253-3520

NPI assigned

Mar 17, 2007

Last updated

Jul 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1245354174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 STAMM AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403537",
            "telephone_number": "317-253-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 STAMM AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403537",
            "telephone_number": "317-253-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEVERBAUGH",
        "first_name": "YVONNE",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "UNIV OF CALIFORNA",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "NONE NECESSARY",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IN",
            "license": "NONE NECESSARY",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ESTHETICIAN",
            "identifier": "ES29801751",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR OF NATURAL MEDICNE",
            "identifier": "NONE REQUIRED",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Tesolin-Gee, MD
• Kristin A Teter, NP
• Anne M Tetrick, PA-C
• Letha Tetrick, DO
• Letha Louise Tetrick, M.D.
• Donald Teves, OT
• Yasmeen Malika Tevis, MSW
• Monica S Tewari, MD
• Vijay Tewari
• Ashley Tewksbury, PHARMD

• Nutrition Education Nutritionist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nutrition Education Nutritionist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.