Individual provider Active NPI

Ava Scarpato, MS, RDN

  • Registered Dietitian
  • North Wales, PA
National Provider Identifier
1164156162
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN007840 Issued in PA
Practice address
106 Raven Hollow Dr
North Wales, PA 19454-4424
Phone
(215) 997-9778
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 DN007840 PA Primary

Addresses

Primary practice location

106 Raven Hollow Dr
North Wales, PA 19454-4424

Mailing address

106 Raven Hollow Dr
North Wales, PA 19454-4424

Other practice location 1

61 Llanfair Rd
Ardmore, PA 19003-3345
Phone (215) 290-7794

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 Science

State licenses

LicenseStateTypeSpecialty
DN007840PAMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1164156162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 RAVEN HOLLOW DR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194544424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RAVEN HOLLOW DR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194544424",
            "telephone_number": "215-997-9778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Llanfair Rd",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "PA",
            "postal_code": "190033345",
            "country_code": "US",
            "telephone_number": "215-290-7794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCARPATO",
        "first_name": "AVA",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.