Maggie Jane Dervis, RDN

Key facts

NPI

1124943832

Entity type

Individual (NPI type 1)

Primary specialty

Registered Dietitian 133V00000X

License

2502 (NH)

Practice address

346 Goodrich Four Corners Rd
Norwich, VT 05055-9797

Phone

(815) 200-7287

NPI assigned

Aug 11, 2026

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 11, 2026.

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1124943832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GOODRICH FOUR CORNERS RD",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050559797",
            "telephone_number": "815-200-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 GOODRICH FOUR CORNERS RD",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050559797",
            "telephone_number": "815-200-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERVIS",
        "first_name": "MAGGIE",
        "middle_name": "JANE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "2502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Norwich, VT · Registered Dietitian in Vermont