Active NPI
Yuchi Yang, RD
- Registered Dietitian
- Issaquah, WA
National Provider Identifier
1922218155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI 00001654
- Practice address
- 3856 260TH Ave SE
Issaquah, WA 98029-7742 - Phone
- (425) 312-3246
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI 00001654 | WA | Primary |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | DI 00001654 | WA |
Addresses
Primary practice location
3856 260TH Ave SE
Issaquah, WA 98029-7742
Mailing address
3856 260TH Ave SE
Issaquah, WA 98029-7742
Phone (425) 312-3246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922218155 | Medicaid | WA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI 00001654 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1922218155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3856 260TH AVE SE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980297742",
"telephone_number": "425-312-3246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3856 260TH AVE SE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980297742",
"telephone_number": "425-312-3246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "YUCHI",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI 00001654",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "WA",
"license": "DI 00001654",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922218155",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.