Individual provider Active NPI

Debra Yerike, RDN

  • Registered Dietitian
  • Davis, CA
National Provider Identifier
1740644624
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
213 F St
#73
Davis, CA 95616-4514
Phone
(530) 264-5577
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary
Registered Dietitian 133V00000X 899 WV

Addresses

Primary practice location

213 F St
#73
Davis, CA 95616-4514

Mailing address

213 F St
#73
Davis, CA 95616-4514
Phone (530) 264-5577

Other identifiers 1

IdentifierTypeStateIssuer
800644OtherCACDR NUMBER

Other names 1

  • Debbie Yerike Professional name

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1740644624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 F ST",
            "address_2": "#73",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164514",
            "telephone_number": "530-264-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 F ST",
            "address_2": "#73",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164514",
            "telephone_number": "530-264-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERIKE",
        "first_name": "DEBRA",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WV",
            "license": "899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR NUMBER",
            "identifier": "800644",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "YERIKE",
            "credential": "DIETETICS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.