Andrea Beth Bontrager Yoder, PHD, RDN, CD
Individual provider Active NPI Registered Dietitian · Elkhart, IN
NPI 1487217352 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1487217352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 37002566A (IN)
- Practice address
- 1627 E Bristol St
Elkhart, IN 46514-3817 - Phone
- (574) 262-0313
- Fax
- (574) 389-4879
- NPI assigned
- Apr 17, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37002566A | IN | Yes |
Addresses
Primary practice location
1627 E Bristol St
Elkhart, IN 46514-3817
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236040319 | Other | IN | MEDICARE PTAN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abontrageryoder@mybeacon.cernerdirect.com |
Other providers in Elkhart, IN
- Whitney Boling
- Bon Homie, Inc
- Mae Bond
- Bonhomie Counseling Corp
- Carol L. Bonsignore
- B. Kay Bontrager
- Lincoln Bontrager
- Megan Bontrager
- Boomers Mobility Services, Inc
- Bryce Borders
All providers in Elkhart, IN · Registered Dietitian in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.