Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elyssa Rubertino Yantis

Individual provider Pediatrics Physician · NPI 1114286184

Elyssa Rubertino Yantis is a Pediatrics Physician in Louisville, Kentucky. Licensed in Kentucky and Texas. Registered with an NPI since 2012.

Licensed in
KY, TX
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

4420 Dixie Hwy Ste 126
Louisville, KY 40216-2994
Phone: (502) 810-3780
Fax: (502) 394-3607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 04134 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence Q4347 (TX)

Record details

NPI number1114286184
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2012
Last updated in NPPESOctober 11, 2020
Certification dateOctober 11, 2020

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