Active NPI
Deanna D Lavanty, RD
- Registered Dietitian
- Leesburg, VA
National Provider Identifier
1154384865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI60183733
- Practice address
- 382 Deerpath Ave SW
Leesburg, VA 20175-2513 - Phone
- (703) 999-6804
- NPI assigned
- Apr 11, 2006
- Last updated
- Mar 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | DI60183733 | WA | Primary |
Addresses
Primary practice location
382 Deerpath Ave SW
Leesburg, VA 20175-2513
Mailing address
382 Deerpath Ave SW
Leesburg, VA 20175-2513
Phone (703) 999-6804
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 |
|---|---|---|---|
| DI60183733 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1154384865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 DEERPATH AVE SW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201752513",
"telephone_number": "703-999-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 DEERPATH AVE SW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201752513",
"telephone_number": "703-999-6804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVANTY",
"first_name": "DEANNA",
"middle_name": "D",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60183733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.