Active NPI
Jordan Emily Yseth, RDN
- Registered Dietitian
- Saint Paul, MN
National Provider Identifier
1396223962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2230 Como Ave.
St. Paul, MN 55108 - Phone
- (651) 645-5323
- NPI assigned
- Aug 5, 2018
- Last updated
- Aug 5, 2018
- 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 | NU | Primary |
Addresses
Primary practice location
2230 Como Ave.
St. Paul, MN 55108
Mailing address
1516 Ashland Ave Apt D
Saint Paul, MN 55104-6712
Phone (763) 486-0271
Other practice location 1
2265 Como Ave
Saint Paul, MN 55108-1737
Phone (651) 645-5323
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 |
|---|---|---|---|
| 4056 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533427200000",
"number": "1396223962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 ASHLAND AVE APT D",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551046712",
"telephone_number": "763-486-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 COMO AVE.",
"city": "ST. PAUL",
"state": "MN",
"postal_code": "55108",
"telephone_number": "651-645-5323"
}
],
"practiceLocations": [
{
"address_1": "2265 Como Ave",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551081737",
"country_code": "US",
"telephone_number": "651-645-5323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YSETH",
"first_name": "JORDAN",
"middle_name": "EMILY",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-05",
"last_updated": "2018-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.