Active NPI
Jake Yarberry, RDN, LD, CPT
- Registered Dietitian
- Henderson, NV
National Provider Identifier
1740799915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37696DI-0
- Practice address
- 423 Sunburst Dr
Henderson, NV 89002-8333 - Phone
- (702) 885-0820
- NPI assigned
- Sep 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 37696DI-0 | NV | Primary |
Addresses
Primary practice location
423 Sunburst Dr
Henderson, NV 89002-8333
Mailing address
423 Sunburst Dr
Henderson, NV 89002-8333
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 |
|---|---|---|---|
| 37696DI-0 | NV | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505865600000",
"number": "1740799915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 SUNBURST DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890028333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 SUNBURST DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890028333",
"telephone_number": "702-885-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARBERRY",
"first_name": "JAKE",
"credential": "RDN, LD, CPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-20",
"last_updated": "2017-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "37696DI-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.