Individual provider Active NPI

Marie Vadella, RD, LDN

  • Registered Dietitian
  • Media, PA
National Provider Identifier
1013387356
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN005310 Issued in PA
Practice address
24 Veterans SQ
Media, PA 19063
Phone
(814) 880-4039
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN005310 PA Primary

Addresses

Primary practice location

24 Veterans SQ
Media, PA 19063

Mailing address

24 Veterans SQ
Media, PA 19063-3155
Phone (814) 880-4039

Other practice location 1

1512 South St
Philadelphia, PA 19146-1636
Phone (267) 239-5637

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN005310PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Unlimited Dietitian, Registered PastSince Mar 19, 2018 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1013387356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 VETERANS SQ",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633155",
            "telephone_number": "814-880-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 VETERANS SQ",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "814-880-4039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1512 South St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191461636",
            "country_code": "US",
            "telephone_number": "267-239-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VADELLA",
        "first_name": "MARIE",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.