Active NPI
Monica R Yoder, RD, CD
- Renal Nutrition Registered Dietitian
- Elkhart, IN
National Provider Identifier
1295735009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 37000269A
- Practice address
- 600 East Blvd
Nutritional Services
Elkhart, IN 46514-2483 - Phone
- (574) 294-2621
- Fax
- (574) 296-6504
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 37000269A | IN | Primary |
Addresses
Primary practice location
600 East Blvd
Nutritional Services
Elkhart, IN 46514-2483
Mailing address
P.O. Box 660376
Elkhart General Hospital Insurance Payments
Indianapolis, IN 46266-0376
Phone (574) 523-3148
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37000269A | IN | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1295735009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 660376",
"address_2": "ELKHART GENERAL HOSPITAL INSURANCE PAYMENTS",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462660376",
"telephone_number": "574-523-3148",
"fax_number": "574-523-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 EAST BLVD",
"address_2": "NUTRITIONAL SERVICES",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142483",
"telephone_number": "574-294-2621",
"fax_number": "574-296-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "MONICA",
"middle_name": "R",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "IN",
"license": "37000269A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.