Active NPI
Kylie Yanow, MS, RDN, CPT
- Registered Dietitian
- Blue Ash, OH
National Provider Identifier
1265292676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4473
- Practice address
- 4624 Northfield Rd
Blue Ash, OH 45242-5611 - Phone
- (513) 490-2932
- NPI assigned
- Mar 21, 2024
- 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 | 4473 | OH | Primary |
Addresses
Primary practice location
4624 Northfield Rd
Blue Ash, OH 45242-5611
Mailing address
4624 Northfield Rd
Blue Ash, OH 45242-5611
Phone (513) 490-2932
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 |
|---|---|---|---|
| 4473 | OH | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1265292676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4624 NORTHFIELD RD",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452425611",
"telephone_number": "513-490-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4624 NORTHFIELD RD",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452425611",
"telephone_number": "513-490-2932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANOW",
"first_name": "KYLIE",
"credential": "MS, RDN, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "4473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.