Active NPI
Yvonne Lou Bachman, R.D.
- Metabolic Nutrition Registered Dietitian
- Clearwater, FL
National Provider Identifier
1437366200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- LD156
- Practice address
- 300 Pinellas St
Ms 45
Clearwater, FL 33756-3804 - Phone
- (727) 462-7458
- Fax
- (337) 462-7912
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | LD156 | FL | Primary |
Addresses
Primary practice location
300 Pinellas St
Ms 45
Clearwater, FL 33756-3804
Mailing address
1390 Gulf Blvd
#1202
Clearwater, FL 33767-2882
Phone (727) 595-8183
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 |
|---|---|---|---|
| LD156 | FL | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437366200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 GULF BLVD",
"address_2": "#1202",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337672882",
"telephone_number": "727-595-8183",
"fax_number": "727-595-8183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PINELLAS ST",
"address_2": "MS 45",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563804",
"telephone_number": "727-462-7458",
"fax_number": "337-462-7912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMAN",
"first_name": "YVONNE",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "FL",
"license": "LD156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.