NPI 1487217352 · live from the CMS NPI Registry
Andrea Beth Bontrager Yoder, PhD, RDN, CD
Dietitian, Registered in Elkhart, IN. National Provider Identifier 1487217352, active.
NPI record
| NPI | 1487217352 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1627 E Bristol St, Elkhart, IN 46514 |
| Practice phone | 574-262-0313 |
| Mailing address | 710 N Niles Ave, South Bend, IN 46617 |
| Enumerated | April 17, 2019 |
| Last updated | March 31, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 37002566A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.