Active NPI
Ethan Michael Yerger, RD
- Registered Dietitian
- Salisbury, MD
National Provider Identifier
1336706571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX4709
- Practice address
- 200 E Vine St
Salisbury, MD 21804-5531 - Phone
- (443) 358-6445
- NPI assigned
- May 23, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DX4709 | MD | Primary |
Addresses
Primary practice location
200 E Vine St
Salisbury, MD 21804-5531
Mailing address
1681 Choptank Rd
Middletown, DE 19709-9043
Phone (302) 893-9845
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 |
|---|---|---|---|
| DX4709 | MD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1336706571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1681 CHOPTANK RD",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197099043",
"telephone_number": "302-893-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E VINE ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045531",
"telephone_number": "443-358-6445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YERGER",
"first_name": "ETHAN",
"middle_name": "MICHAEL",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-23",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX4709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.