Active NPI
Christine Susan Naegle, MA, RD, LDN
- Registered Dietitian
- Phoenixville, PA
National Provider Identifier
1154779221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN001361
- Practice address
- 205 Kimber Dr
Phoenixville, PA 19460-4734 - Phone
- (610) 647-3750
- Fax
- (610) 647-3751
- NPI assigned
- May 31, 2016
- 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 | DN001361 | PA | Primary |
Addresses
Primary practice location
205 Kimber Dr
Phoenixville, PA 19460-4734
Mailing address
205 Kimber Dr
Phoenixville, PA 19460-4734
Phone (610) 647-3750
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN001361 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Nutrition and Fitness LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Registered Dietitian
- Wayne, PA
- NPI 1750077129
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1154779221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 KIMBER DR",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604734",
"telephone_number": "610-647-3750",
"fax_number": "610-647-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 KIMBER DR",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604734",
"telephone_number": "610-647-3750",
"fax_number": "610-647-3751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAEGLE",
"first_name": "CHRISTINE",
"middle_name": "SUSAN",
"credential": "MA, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN001361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.