Individual provider Active NPI

Yesem T Demeke, RDN

  • Registered Dietitian
  • Astoria, OR
National Provider Identifier
1992224760
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D-10233886 Issued in OR
Practice address
2158 Exchange St Ste 304
Astoria, OR 97103-3307
Phone
(503) 325-8315
Fax
(503) 325-8602
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D-10233886 OR Primary
Registered Dietitian 133V00000X 86094782 CA
Registered Dietitian 133V00000X DI61376417 WA

Addresses

Primary practice location

2158 Exchange St Ste 304
Astoria, OR 97103-3307

Mailing address

2158 Exchange St Ste 304
Astoria, OR 97103-3307
Phone (503) 325-8315

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ydemeke40073@yvfwc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231025003381 OR Practitioner - Registered Dietitian Or Nutrition Professional 2264888353
I20231025003711 WA Practitioner - Registered Dietitian Or Nutrition Professional 2264888353 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86094782CAMDRegistered Dietitian
D-10233886ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Farm Workers Clinic CurrentSince Sep 13, 2023 Accepting new patients
Yakima Valley Farm Workers Clinic Current Accepting new patients

Locations

713 Memorial St
Prosser, WA 99350
Phone (509) 786-1931

1120 W Rose St
Walla Walla, WA 99362
Phone (509) 525-6650

3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200

918 E Mead Ave
Yakima, WA 98903
Phone (509) 453-1344

602 E Nob Hill Blvd
Yakima, WA 98901
Phone (509) 248-3334

Interoperability endpoints

  • Direct secure messaging: ydemeke40073@yvfwc.direct-ci.com

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1992224760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 EXCHANGE ST STE 304",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033307",
            "telephone_number": "503-325-8315",
            "fax_number": "503-325-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 EXCHANGE ST STE 304",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033307",
            "telephone_number": "503-325-8315",
            "fax_number": "503-325-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEKE",
        "first_name": "YESEM",
        "middle_name": "T",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "D-10233886",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86094782",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61376417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ydemeke40073@yvfwc.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "YVFWC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2158 Exchange St Ste 304",
            "city": "Astoria",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971033307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.