Healthcare Provider Details

I. General information

NPI: 1598464976
Provider Name (Legal Business Name): YVONNE E. MATTHEWS MS, CNS, LDN, BCHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2023
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 NIAGARA ST
DENVER CO
80220-5555
US

IV. Provider business mailing address

785 NIAGARA ST
DENVER CO
80220-5555
US

V. Phone/Fax

Practice location:
  • Phone: 760-831-7107
  • Fax:
Mailing address:
  • Phone: 760-831-7107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberNU000023
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number14949
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberNU200000247
License Number StateDC
# 5
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number164.023548
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberDX6429
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: