Active NPI
Deborah Vanderpool, RD, CDE
- Registered Dietitian
- Petersburg, VA
National Provider Identifier
1013330174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004320
- Practice address
- 321C Poplar Dr
Petersburg, VA 23805-9306 - Phone
- (804) 733-5591
- NPI assigned
- Jan 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L004320 | NC | Primary |
Addresses
Primary practice location
321C Poplar Dr
Petersburg, VA 23805-9306
Mailing address
321C Poplar Dr
Petersburg, VA 23805-9306
Phone (804) 733-5591
Other practice location 1
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (919) 966-8857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004320 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Virginia Health Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- New Canton, VA
- NPI 1275512063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1013330174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321C POPLAR DR",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059306",
"telephone_number": "804-733-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321C POPLAR DR",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059306",
"telephone_number": "804-733-5591"
}
],
"practiceLocations": [
{
"address_1": "101 Manning Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144220",
"country_code": "US",
"telephone_number": "919-966-8857",
"fax_number": "919-966-3217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERPOOL",
"first_name": "DEBORAH",
"credential": "RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.