Active NPI
Rae Jean Versagli, REGISTERED DIETICIAN
- Registered Dietitian
- Hockessin, DE
National Provider Identifier
1144393976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 504065
- Practice address
- 726 Loveville Rd
Hockessin, DE 19707-1515 - Phone
- (302) 235-6074
- Fax
- (302) 235-6001
- NPI assigned
- Nov 17, 2006
- Last updated
- Jul 8, 2007
- 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 | 504065 | DE | Primary |
Addresses
Primary practice location
726 Loveville Rd
Hockessin, DE 19707-1515
Mailing address
726 Loveville Rd
Hockessin, DE 19707-1515
Phone (302) 235-6074
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 |
|---|---|---|---|
| 504065 | DE | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144393976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 LOVEVILLE RD",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197071515",
"telephone_number": "302-235-6074",
"fax_number": "302-235-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 LOVEVILLE RD",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197071515",
"telephone_number": "302-235-6074",
"fax_number": "302-235-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERSAGLI",
"first_name": "RAE JEAN",
"name_prefix": "Mrs.",
"credential": "REGISTERED DIETICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DE",
"license": "504065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hockessin, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.