Active NPI
Kaitlin Reaves Yeoman, RD, LDN, CDE
- Registered Dietitian
- Cary, NC
National Provider Identifier
1437645512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005394
- Practice address
- 105 Kilmayne Dr Ste B
Cary, NC 27511-4433 - Phone
- (919) 990-1130
- NPI assigned
- Jul 2, 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 | L005394 | NC | Primary |
Addresses
Primary practice location
105 Kilmayne Dr Ste B
Cary, NC 27511-4433
Mailing address
402A N Queen St
Durham, NC 27701-3448
Phone (662) 488-1336
Other names 1
- Kaitlin Reaves Yeoman Igoe
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1437645512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402A N QUEEN ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013448",
"telephone_number": "662-488-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 KILMAYNE DR STE B",
"city": "CARY",
"state": "NC",
"postal_code": "275114433",
"telephone_number": "919-990-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEOMAN",
"first_name": "KAITLIN",
"middle_name": "REAVES",
"name_prefix": "Ms.",
"credential": "RD, LDN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-02",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L005394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLIN",
"last_name": "YEOMAN IGOE",
"middle_name": "REAVES",
"credential": "RD, LD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.