MR. GRAYDON T. YATABE (NPI# 1811025091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811025091 |
| Entity Type | Individual |
| Full Name | MR. GRAYDON T. YATABE |
| Credential | RD |
| Practice Address |
Off Hwy 191 Hospital Road Chinle AZ 86503 |
| Mailing Address |
Po Drawer Ph Chinle AZ 86503 |
| Practice Telephone | 9286747001 |
| Practice Fax Number | 9286747705 |
| Mailing Telephone | 9286747001 |
| Mailing Fax Number | 9286747705 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 811582 | IL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 755390 | 05 |
| Street Address |
OFF HWY 191 HOSPITAL ROAD |
| City | CHINLE |
| State | AZ |
| Zip Code | 86503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508800129 | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | General Acute Care Hospital | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2006-06-15 |
| 1194991687 | Muna Ar-rushdi | Family Medicine | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2008-05-05 |
| 1639360639 | Pedro A. Fuentes | Psychologist | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-08-05 |
| 1467652842 | Donald C. Ferlic | Orthopaedic Surgery | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-07-23 |
| 1487859716 | Brian C. Hunter | Dietitian, Registered | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-06-18 |
| 1033326392 | William Mccracken | Dentist | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-05-17 |
| 1942417209 | Donald K. Rice | Dentist | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-05-17 |
| 1679789903 | Victor M Peterson | Podiatrist | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-05-15 |
| 1619195435 | James A. Hayslett | Pharmacist | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-04-24 |
| 1518185248 | John A. Doerner | Radiology | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042461 | Jonathan Lam | Optometrist | Us 191 & Hospital Dr., Chinle, AZ 86503 | 2020-04-16 |
| 1154950004 | David Gibrael | Pharmacist | Us 191 Hospital Drive, Chinle, AZ 86503 | 2020-04-03 |
| 1366076739 | Calli Jo Swenson | Pharmacist | Us 191 & Hospital Drive, Chinle, AZ 86503 | 2020-02-25 |
| 1336770338 | Quan The Truong | Pharmacist | Us Hway 191 & Hospital Road, Po Drawer Ph, Chinle, AZ 86503 | 2020-01-29 |
| 1275172264 | Alexandra Guthart | Pharmacist | Us 191 and Hospital Dr, Chinle, AZ 86503 | 2019-12-23 |
| 1811530819 | Brian Spencer | Dentist | U.S. 191 and Hospital Drive, Chinle, AZ 86503 | 2019-10-22 |
| 1881249084 | Natasha Renee Bitsui | Community Health Worker | Navajo Rte 7 and 102-1, C012-118, Chinle, AZ 86503 | 2019-08-05 |
| 1871063628 | Zachary Holtkamp | Physical Therapist | Off Highway 191, Hospital Rd, Chinle, AZ 86503 | 2018-12-04 |
| 1841774296 | Tanieca Marie Downing | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2018-09-21 |
| 1417430331 | Virginia Lois Woollens | Dietitian, Registered | Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 | 2018-09-07 |
| Find all providers in zip 86503 | ||||
| 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 |
|---|---|---|---|---|
| 1841774296 | Tanieca Marie Downing | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2018-09-21 |
| 1417430331 | Virginia Lois Woollens | Dietitian, Registered | Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 | 2018-09-07 |
| 1518414119 | Celena Robinson | Dietitian, Registered | Us Highway 191, Hospital Road, Chinle, AZ 86503 | 2016-09-01 |
| 1558702175 | Patricia A. Ellis | Dietitian, Registered | Az Highway 191 and Hospital Road, Chinle, AZ 86503 | 2013-07-11 |
| 1689622607 | Linda A Hall | Dietitian, Registered | Po Box Ph, Chinle, AZ 86503 | 2006-05-04 |
| 1043842255 | Howard August Hsieh | Dietitian, Registered | Po Drawer Ph, Chinle, AZ 86503 | 2020-02-05 |
| 1740753581 | Susan Robins-ndori | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2019-01-04 |
| 1497206072 | Lizzette Enriquez-lespron | Dietitian, Registered | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-10-19 |
| 1043761620 | Ruben Rodriquez Lespron | Dietitian, Registered | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-10-19 |
| 1902356785 | Jenna Rae Carlson | Dietitian, Registered | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-10-05 |
| Find all providers in CHINLE | ||||
Please comment or provide details below to improve the information on MR. GRAYDON T. YATABE.
| 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.