Active NPI
Yesem T Demeke, RDN
- Registered Dietitian
- Astoria, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-10233886
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ydemeke40073@yvfwc.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86094782 | CA | MD | Registered Dietitian |
| D-10233886 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Farm Workers Clinic | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Yakima, WA
- NPI 1295788602
-
- Federally Qualified Health Center (FQHC)
- Prosser, WA
- NPI 1891821013
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.