Conner Yoder, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37002960A Issued in IN

Practice address

9804 Acacia Psge
Fort Wayne, IN 46835-9143

Phone

(260) 479-0080

NPI assigned

Feb 28, 2019

Last updated

Oct 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Conner Yoder Nutrition LLC

  • Registered Dietitian
  • Fort Wayne, IN
  • NPI 1093422099

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1275090094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9804 ACACIA PSGE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468359143",
            "telephone_number": "260-479-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9804 ACACIA PSGE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468359143",
            "telephone_number": "260-479-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Columbus St",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "OH",
            "postal_code": "435261250",
            "country_code": "US",
            "telephone_number": "419-542-5565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YODER",
        "first_name": "CONNER",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "08691",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "IN",
            "license": "37002960A",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IN",
            "license": "37002960A",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37002960A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyce S Yoder, R.D., C.D.
• Amy D Yoder, CCC-SLP
• Andrea F Yoder, CNM
• Ashley Noelle Yoder
• Benjamin Joseph Yoder, DDS
• Dustin Yoder, DC
• Grant Yoder, DPT
• Jeffery A Yoder, MD
• Mari-Lyn Yoder
• Mindy Joy Yoder, N.P.

• Registered Dietitian in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; 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.