Provider Demographics
NPI:1558253112
Name:NAKAYACHI, YUUKI (PHD, RD)
Entity type:Individual
Prefix:
First Name:YUUKI
Middle Name:
Last Name:NAKAYACHI
Suffix:
Gender:M
Credentials:PHD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6711 GERMANTOWN AVE UNIT 4953
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2167
Mailing Address - Country:US
Mailing Address - Phone:415-234-0961
Mailing Address - Fax:
Practice Address - Street 1:645 W PARK LN UNIT 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-3712
Practice Address - Country:US
Practice Address - Phone:415-234-0961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered