Active NPI
Yukie Chiba, MS RDN CDN
- Registered Dietitian
- New York, NY
National Provider Identifier
1356771414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 997761
- Practice address
- 1249 5TH Ave
New York, NY 10029-4413 - Phone
- (212) 360-3703
- NPI assigned
- Nov 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 997761 | NY | Primary |
| Nutrition Education Nutritionist | 133NN1002X | 007827-1 | NY |
Addresses
Primary practice location
1249 5TH Ave
New York, NY 10029-4413
Mailing address
1249 5TH Ave
New York, NY 10029-4413
Phone (212) 360-3703
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 |
|---|---|---|---|
| 997761 | NY | MD | Registered Dietitian |
| 007827-1 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1356771414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1249 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100294413",
"telephone_number": "212-360-3703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100294413",
"telephone_number": "212-360-3703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIBA",
"first_name": "YUKIE",
"name_prefix": "Ms.",
"credential": "MS RDN CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-26",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "997761",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "007827-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.