Individual provider Active NPI

Anzeribiam Yvonne Akum, MS,RDN, LDN

  • Registered Dietitian
  • Washington, DC
National Provider Identifier
1295400075
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX3698 Issued in MD
Practice address
2639 Connecticut Ave NW Ste 251
Washington, DC 20008-2651
Phone
(240) 722-1014
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX3698 MD Primary

Addresses

Primary practice location

2639 Connecticut Ave NW Ste 251
Washington, DC 20008-2651

Mailing address

2639 Connecticut Ave NW Ste 251
Washington, DC 20008-2651
Phone (240) 722-1014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112004329 TX Practitioner - Registered Dietitian Or Nutrition Professional 5799276226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1337
Gallup, NM 87305

PO Box
Suite 1337
Gallup, NM 87305-1337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DX3698MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Aug 29, 2025 Accepting new patients
Body Image Therapy Center Intensive Dietitian, Registered CurrentSince Mar 27, 2022 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Aug 29, 2025 Accepting new patients

Locations

2639 Connecticut Ave NW
Ste 251
Washington, DC 20008
Phone (240) 722-1014

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1295400075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 CONNECTICUT AVE NW STE 251",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082651",
            "telephone_number": "240-722-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 CONNECTICUT AVE NW STE 251",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082651",
            "telephone_number": "240-722-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKUM",
        "first_name": "ANZERIBIAM",
        "middle_name": "YVONNE",
        "credential": "MS,RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.