Christopher Perry Yedlicka

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

8400 S Kyrene Rd Ste 103
Tempe, AZ 85284-2119

Phone

(602) 698-7111

NPI assigned

May 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1669056727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 S KYRENE RD STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842119",
            "telephone_number": "602-698-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 S KYRENE RD STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842119",
            "telephone_number": "602-698-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEDLICKA",
        "first_name": "CHRISTOPHER",
        "middle_name": "PERRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lu Yao, MD
• Dani Anissa Ybarra, RN
• Andrew Leslie Yee, PHARMACIST
• Bruce James Yee, MD
• Carolyn P Yee
• Sandra Yee, MD
• Yehia Imam, DDS PC

• Nutritionist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Nutritionist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.