Individual provider Active NPI

Jennifer Yoon, RD

  • Registered Dietitian
  • Pittsburgh, PA
National Provider Identifier
1740462258
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003603 Issued in PA
Practice address
1580 McLaughlin Run Road
Suite 208 Pediactric Alliance - St. Clair
Pittsburgh, PA 15241
Phone
(412) 221-2121
Fax
(412) 221-7224
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN003603 PA Primary

Addresses

Primary practice location

1580 McLaughlin Run Road
Suite 208 Pediactric Alliance - St. Clair
Pittsburgh, PA 15241

Mailing address

1580 McLaughlin Run Road
Suite 208 Pediatric Alliance - St. Clair Division
Pittsburgh, PA 15241
Phone (412) 221-2121

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
DN003603PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Pediatrics Past Accepting new patients
Pediatric Alliance, St. Clair Division Past Accepting new patients

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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1740462258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MCLAUGHLIN RUN ROAD",
            "address_2": "SUITE 208 PEDIATRIC ALLIANCE - ST. CLAIR DIVISION",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15241",
            "telephone_number": "412-221-2121",
            "fax_number": "412-221-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MCLAUGHLIN RUN ROAD",
            "address_2": "SUITE 208 PEDIACTRIC ALLIANCE - ST. CLAIR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15241",
            "telephone_number": "412-221-2121",
            "fax_number": "412-221-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "JENNIFER",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.