Individual provider Active NPI

Madeline Elizabeth Scozzari, RD, LDN

  • Registered Dietitian
  • Nanticoke, PA
National Provider Identifier
1124856414
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86147538 Issued in MA
Practice address
4 Lawrence St
Nanticoke, PA 18634-2602
Phone
(404) 999-3149
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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 86147538 MA Primary

Addresses

Primary practice location

4 Lawrence St
Nanticoke, PA 18634-2602

Mailing address

26 Old Route 87
North Franklin, CT 06254-1714
Phone (774) 327-0557

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
86147538MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Lasco Nutrition LLC Dietitian, Registered CurrentSince Jul 28, 2024 Accepting new patients
Andersons Nutrition Dietitian, Registered PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 2

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": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1124856414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 OLD ROUTE 87",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541714",
            "telephone_number": "774-327-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAWRENCE ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186342602",
            "telephone_number": "404-999-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOZZARI",
        "first_name": "MADELINE",
        "middle_name": "ELIZABETH",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "86147538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanticoke, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.