Active NPI
Kristine Emiko Yada
- Registered Dietitian
- Irvine, CA
National Provider Identifier
1679299259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86209797
- Practice address
- 18 Valente
Irvine, CA 92602-1633 - Phone
- (949) 351-3361
- NPI assigned
- Oct 17, 2022
- 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 | 86209797 | CA | Primary |
Addresses
Primary practice location
18 Valente
Irvine, CA 92602-1633
Mailing address
31 Rolling GRN
Irvine, CA 92620-3550
Phone (949) 351-3361
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 |
|---|---|---|---|
| 86209797 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Nutrition Counseling LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Irvine, CA
- NPI 1275222580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1679299259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 ROLLING GRN",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203550",
"telephone_number": "949-351-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 VALENTE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926021633",
"telephone_number": "949-351-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YADA",
"first_name": "KRISTINE",
"middle_name": "EMIKO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86209797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.