Individual provider Active NPI

Abigail Elizabeth Nessle, RDN

  • Registered Dietitian
  • Wescosville, PA
National Provider Identifier
1114651221
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN007837 Issued in PA
Practice address
1013 Brookside Rd Ste 104
Wescosville, PA 18106-9598
Phone
(484) 347-9055
Fax
(888) 715-8812
NPI assigned
Jul 13, 2022
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Registered Dietitian 133V00000X DN007837 PA Primary

Addresses

Primary practice location

1013 Brookside Rd Ste 104
Wescosville, PA 18106-9598

Mailing address

1013 Brookside Rd Ste 104
Allentown, PA 18106-9598

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@annieburdine.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116003466 PA Practitioner - Registered Dietitian Or Nutrition Professional 5799137683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1601 Medical Dr
Pottstown, PA 19464-3241
Phone (484) 945-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN007837PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Medical Specialists, Inc CurrentSince Dec 4, 2023 Accepting new patients
Health Promotion Council of Southeastern Pennsylvania, Inc. Dietitian, Registered CurrentSince Jul 31, 2024 Accepting new patients
Brookside Family Practice & Pediatrics Past Accepting new patients
Pottstown Medical Specialists Inc Past Accepting new patients
Pottstown Medical Specialists Inc Past Accepting new patients
Stowe Medical Group Past Accepting new patients

Locations

23 N Walnut St
Boyertown, PA 19512
Phone (610) 367-2259

555 Second Ave
Ste C-300
Collegeville, PA 19426
Phone (610) 454-7750

1555 Medical Dr
Pottstown, PA 19464
Phone (610) 326-7820

1566 Medical Dr
Ste 104
Pottstown, PA 19464
Phone (484) 945-0075

1601 Medical Dr
Pottstown, PA 19464
Phone (610) 327-4200

1601 Medical Dr
Ste A
Pottstown, PA 19464
Phone (484) 945-0111

307 S Lewis Rd
Royersford, PA 19468
Phone (610) 327-4200

223 Shoemaker Rd
Ste 105
Stowe, PA 19464
Phone (484) 945-0770

Interoperability endpoints

  • Direct secure messaging: abigailnessle@pmsi.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1114651221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 BROOKSIDE RD STE 104",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 BROOKSIDE RD STE 104",
            "city": "WESCOSVILLE",
            "state": "PA",
            "postal_code": "181069598",
            "telephone_number": "484-347-9055",
            "fax_number": "888-715-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSLE",
        "first_name": "ABIGAIL",
        "middle_name": "ELIZABETH",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@annieburdine.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1013 Brookside Rd Ste 104",
            "city": "Wescosville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181069598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wescosville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.