Individual provider Active NPI

Yesenia Chediak, RDN, LD/N

  • Registered Dietitian
  • Weston, FL
National Provider Identifier
1720788847
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1067825 Issued in FL
Practice address
2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258
Phone
(954) 357-3180
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1067825 FL Primary
Registered Dietitian 133V00000X 164009278 IL
Nutritionist 133N00000X ND7883 FL

Addresses

Primary practice location

2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258

Mailing address

2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258
Phone (954) 357-3180

Other practice location 1

100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283
Phone (854) 357-3180

Other practice location 2

2501 Chatham Rd Ste 5328
Springfield, IL 62704-4188
Phone (954) 357-3180

Other identifiers 3

IdentifierTypeStateIssuer
164009278OtherILLICENSE DIETITIAN
1067825OtherREGISTERED DIETITIAN NUTRITIONIST
ND7883OtherFLLICENSED DIETITIAN NUTRITIONIST

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

LicenseStateTypeSpecialty
ND7883FLMDNutritionist
1067825FLMDRegistered Dietitian
164009278ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Nutrition Experts LLC Dietitian, Registered Current Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

1401 21st St
Ste 11625
Sacramento, CA 95811

2200 N Commerce Pkwy
Ste 200
Weston, FL 33326
Phone (305) 898-9707

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1720788847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "954-357-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "954-357-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Big Beaver Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480845283",
            "country_code": "US",
            "telephone_number": "854-357-3180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Chatham Rd Ste 5328",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627044188",
            "country_code": "US",
            "telephone_number": "954-357-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEDIAK",
        "first_name": "YESENIA",
        "credential": "RDN, LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "1067825",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164009278",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND7883",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE DIETITIAN",
            "identifier": "164009278",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN NUTRITIONIST",
            "identifier": "1067825",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN NUTRITIONIST",
            "identifier": "ND7883",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.