DR. ANDREA BETH BONTRAGER YODER (NPI# 1487217352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487217352 |
| Entity Type | Individual |
| Full Name | DR. ANDREA BETH BONTRAGER YODER |
| Credential | PHD, RDN, CD |
| Practice Address |
1627 E Bristol St Elkhart IN 46514-3817 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5742620313 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 37002566A | IN | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE PTAN | 236040319 | 01 |
| Street Address |
1627 E BRISTOL ST |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972650 | Bristol Street Pediatrics, P.C. | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2005-06-16 |
| 1306228184 | Laura M. Dieterlen | Nurse Practitioner | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2015-06-29 |
| 1851781934 | Julie P. Mark | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2015-01-28 |
| 1861816761 | Beacon Medical Group, Inc. | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514 | 2014-02-12 |
| 1659614964 | Emily Marie Kisor | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2013-04-04 |
| 1033300439 | Rosemary J Eash | Nurse Practitioner | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2007-08-09 |
| 1720279128 | Jody L Srof | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2007-08-09 |
| 1770533424 | Jared Ray Dhaemers | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2006-05-12 |
| 1811988694 | James Peterson | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2005-11-02 |
| 1639160419 | Sandra H. Morgan | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2005-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| 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 |
|---|---|---|---|---|
| 1619590809 | Mary E Wendt | Dietitian, Registered | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-05-21 |
| 1881002707 | Katherine Reidenbach | Dietitian, Registered | 600 East Blvd, Elkhart, IN 46514-2483 | 2014-07-23 |
| 1558681031 | Maria R. Haisley | Dietitian, Registered | 600 East Blvd, Nutritional Services, Elkhart, IN 46514-2483 | 2010-06-07 |
| 1467518050 | Cheryl Brandt | Dietitian, Registered | 600 East Blvd, Nutrition Services, Elkhart, IN 46514-2483 | 2006-12-28 |
| 1609936871 | Rebecca L Kratochvil | Dietitian, Registered | 600 East Blvd, Nutrition Services Dept., Elkhart, IN 46514-2483 | 2006-12-11 |
| 1134288525 | Anna C. Berzai | Dietitian, Registered | 600 East Blvd, Nutrition Services Department, Elkhart, IN 46514-2483 | 2006-12-08 |
| 1275691990 | Heather M. Borsa | Dietitian, Registered | 600 East Blvd, Nutrition Services Department, Elkhart, IN 46514-2483 | 2006-12-05 |
| 1790843407 | Elaine A. Hagen | Dietitian, Registered | 600 East Blvd, Nutrition Services Department, Elkhart, IN 46514-2483 | 2006-12-05 |
| 1508924259 | Rosannah M. Mack | Dietitian, Registered | 600 East Blvd, Nutrition Services Department, Elkhart, IN 46514-2483 | 2006-12-05 |
| 1134287865 | Karen M. Cleveland | Dietitian, Registered | 600 East Blvd, Nutrition Services Department, Elkhart, IN 46514-2483 | 2006-12-05 |
| Find all providers in ELKHART | ||||
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| 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.