Active NPI
Teresa Yi, MS, RD, CD, CN
- Registered Dietitian
- Bellevue, WA
National Provider Identifier
1386072049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 60422413
- Practice address
- 12826 SE 40TH LN Ste 203
Bellevue, WA 98006 - Phone
- (253) 259-2880
- NPI assigned
- Oct 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 60422413 | WA | Primary |
Addresses
Primary practice location
12826 SE 40TH LN Ste 203
Bellevue, WA 98006
Mailing address
6947 Coal Creek Pkwy SE # 734
Newcastle, WA 98059-3136
Phone (253) 259-2880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60422413 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1386072049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6947 COAL CREEK PKWY SE # 734",
"city": "NEWCASTLE",
"state": "WA",
"postal_code": "980593136",
"telephone_number": "253-259-2880",
"fax_number": "425-902-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12826 SE 40TH LN STE 203",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98006",
"telephone_number": "253-259-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YI",
"first_name": "TERESA",
"credential": "MS, RD, CD, CN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "60422413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.