Active NPI
Beverly Yachmetz
- Diabetes Educator Registered Nurse
- Mashpee, MA
National Provider Identifier
1376941658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 09018459
- Practice address
- 107 Commercial St
Mashpee, MA 02649-6507 - Phone
- (508) 477-7090
- Fax
- (508) 477-7028
- NPI assigned
- Dec 18, 2014
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | PH25329 | MA | |
| Diabetes Educator Registered Nurse | 163WD0400X | 09018459 | MA | Primary |
Addresses
Primary practice location
107 Commercial St
Mashpee, MA 02649-6507
Mailing address
107 Commercial St
Mashpee, MA 02649-6507
Phone (508) 477-7090
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH25329 | MA | MD | Nutrition Education Nutritionist |
| 09018459 | MA | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1376941658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 COMMERCIAL ST",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026496507",
"telephone_number": "508-477-7090",
"fax_number": "508-477-7028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 COMMERCIAL ST",
"city": "MASHPEE",
"state": "MA",
"postal_code": "026496507",
"telephone_number": "508-477-7090",
"fax_number": "508-477-7028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACHMETZ",
"first_name": "BEVERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-18",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "MA",
"license": "PH25329",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "MA",
"license": "09018459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mashpee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.