SHELBY YACECZKO (NPI# 1295277648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295277648 |
| Entity Type | Individual |
| Full Name | SHELBY YACECZKO |
| Credential | RDN |
| Practice Address |
350 Wisconsin Ave Apt 1 Long Beach CA 90814-5699 |
| Practice Telephone | 3308158000 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
350 WISCONSIN AVE APT 1 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90814-5699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184166548 | Amy Zhong | Dietitian, Registered | 350 Wisconsin Ave Apt 1, Long Beach, CA 90814-5699 | 2016-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164797056 | Recovery At Sea | Community/Behavioral Health | 2345 East 4th Street, Long Beach, CA 90814 | 2012-03-12 |
| 1982869616 | James R Gaither Jr. | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-22 |
| 1760676274 | Charles Edward Criddle | Chiropractor | 352 Newport Ave, Long Beach, CA 90814 | 2007-08-29 |
| 1891911459 | Ting-wey Yen | Dentist | 319 Redondo Ave., Long Beach, CA 90814 | 2007-04-18 |
| 1194850495 | Donna Marie Camagay Calima | Dentist | 389 Redondo Ave, Long Beach, CA 90814 | 2007-02-23 |
| 1366595332 | Roger Justin Wood | Marriage & Family Therapist | 3424 E 4th St, Long Beach, CA 90814 | 2007-01-20 |
| 1467558338 | Rudy Steven Mendoza | Dentist | 392 Redondo Ave, Long Beach, CA 90814 | 2006-09-16 |
| 1578670766 | Seany Renfrow | Psychologist | 5170 Colorado, Long Beach, CA 90814 | 2006-08-24 |
| 1245210368 | Johnny L Triplett | Anesthesiology | 4674 East Barker Way, Long Beach, CA 90814 | 2006-01-17 |
| 1992960371 | Maria Veronica Uvero Racelis | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-24 |
| Find all providers in zip 90814 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568070167 | Erin Fitzpatrick | Dietitian, Registered | 630 Shore Rd Apt 507, Long Beach, NY 11561-4628 | 2020-07-20 |
| 1942827167 | Guy D Denton Jr. | Dietitian, Registered | 1739 N Stanton Pl Apt 7, Long Beach, CA 90804-7917 | 2020-07-03 |
| 1497394258 | Austin Nicholus Peesset Bou | Dietitian, Registered | 1716 E 53rd St, Long Beach, CA 90805-6214 | 2019-12-27 |
| 1558909291 | Daniel Feldman | Dietitian, Registered | 68 Barnes St, Long Beach, NY 11561-2615 | 2019-12-12 |
| 1396383246 | Lukes Dietitians | Dietitian, Registered | 5030 E 2nd St Ste 200a, Long Beach, CA 90803-5349 | 2019-12-11 |
| 1972029130 | Lilia Bolgov | Dietitian, Registered | 3528 E 2nd St, Apt 1, Long Beach, CA 90803 | 2017-08-19 |
| 1356875900 | Kathleen Gabriel Mccool | Dietitian, Registered | 21 65th Pl, Unit A, Long Beach, CA 90803-5627 | 2017-04-19 |
| 1710426713 | Marie Everett | Dietitian, Registered | 3553 Atlantic Ave # 553, Long Beach, CA 90807-5606 | 2017-02-23 |
| 1356899371 | Vicky Adeva | Dietitian, Registered | 1043 Elm Ave Ste 401, Long Beach, CA 90813-3296 | 2016-09-19 |
| 1013465483 | Cristina Joros | Dietitian, Registered | 6828 E Driscoll St, Long Beach, CA 90815-4807 | 2016-09-14 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90814 |
Please comment or provide details below to improve the information on SHELBY YACECZKO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.