Individual provider Active NPI

Yanira Galarza Pacheco, LND.,MPH

  • Nutritionist
  • Yauco, PR
National Provider Identifier
1922309368
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1583 Issued in PR
Practice address
143 Calle 25 de Julio
Yauco, PR 00698-0069
Phone
(787) 900-2082
NPI assigned
Nov 16, 2010
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1583 PR Primary
Registered Dietitian 133V00000X 1583 PR

Addresses

Primary practice location

143 Calle 25 de Julio
Yauco, PR 00698-0069

Mailing address

421 Dalias Street
Urbanizacion Los Pinos
Yauco, PR 00698-0000
Phone (787) 981-0949

Other practice location 1

M10 Calle Paco Martinez
Reparto Esperanza
Yauco, PR 00698
Phone (787) 981-0949

Other identifiers 1

IdentifierTypeStateIssuer
038979001MedicaidPR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Inmediata Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210329001689 PR Practitioner - Registered Dietitian Or Nutrition Professional 0042627598 Reassigns benefits to 1 organization
Practice locations: Yauco, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1583PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrika Low Profit LLC CurrentSince Oct 16, 2022 Accepting new patients
Vita Care,LLC Single Specialty CurrentSince Dec 17, 2020 Accepting new patients
Nutricion Al Dia Dietitian, Registered PastSince Oct 16, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yanira.galarzapacheco.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1922309368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 DALIAS STREET",
            "address_2": "URBANIZACION LOS PINOS",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980000",
            "telephone_number": "787-981-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 CALLE 25 DE JULIO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980069",
            "telephone_number": "787-900-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "M10 Calle Paco Martinez",
            "address_2": "Reparto Esperanza",
            "address_purpose": "LOCATION",
            "city": "Yauco",
            "state": "PR",
            "postal_code": "00698",
            "country_code": "US",
            "telephone_number": "787-981-0949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALARZA PACHECO",
        "first_name": "YANIRA",
        "credential": "LND.,MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1583",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1583",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038979001",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Inmediata",
            "affiliation": "N",
            "endpointDescription": "oficce",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Inmediata",
            "address_1": "143 Calle 25 de Julio",
            "city": "Yauco",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006980069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.