Active NPI
Amy Yeoman, RD
- Registered Dietitian
- Spokane, WA
National Provider Identifier
1992346514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86031097
- Practice address
- 711 N Helena St Ste C
Spokane, WA 99202-2826 - Phone
- (303) 918-0569
- NPI assigned
- Oct 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86031097 | WA | Primary |
Addresses
Primary practice location
711 N Helena St Ste C
Spokane, WA 99202-2826
Mailing address
4204 S Conklin St
Spokane, WA 99203-6235
Phone (303) 918-0569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 20, 2022 through Sep 20, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86031097 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fuel to Thrive | Dietitian, Registered | Current | Accepting new patients |
Locations
711 N Helena St
Ste C
Spokane, WA 99202
Phone (303) 918-0569
Organizations & group practices 1
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": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1992346514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 S CONKLIN ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992036235",
"telephone_number": "303-918-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 N HELENA ST STE C",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992022826",
"telephone_number": "303-918-0569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEOMAN",
"first_name": "AMY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "86031097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.