Provider Demographics
NPI:1659161586
Name:YASINSKI, EVYN GRACE (MS, RD, LDN)
Entity type:Individual
Prefix:
First Name:EVYN
Middle Name:GRACE
Last Name:YASINSKI
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16106 CRAIGSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7181
Mailing Address - Country:US
Mailing Address - Phone:832-712-4876
Mailing Address - Fax:
Practice Address - Street 1:2223 GENERAL PERSHING ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-5439
Practice Address - Country:US
Practice Address - Phone:832-712-4876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3973133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered