Individual provider Active NPI

Rebecca Yenchik, CNC, CMH, HTMAP

  • Nutritionist
  • Meshoppen, PA
National Provider Identifier
1629874490
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
191 Tracy Brewer Rd
Meshoppen, PA 18630-8153
Phone
(570) 721-3044
NPI assigned
Feb 21, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

191 Tracy Brewer Rd
Meshoppen, PA 18630-8153

Mailing address

191 Tracy Brewer Rd
Meshoppen, PA 18630-8153
Phone (570) 721-3044

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1629874490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 TRACY BREWER RD",
            "city": "MESHOPPEN",
            "state": "PA",
            "postal_code": "186308153",
            "telephone_number": "570-721-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 TRACY BREWER RD",
            "city": "MESHOPPEN",
            "state": "PA",
            "postal_code": "186308153",
            "telephone_number": "570-721-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENCHIK",
        "first_name": "REBECCA",
        "credential": "CNC, CMH, HTMAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meshoppen, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.