Janice D Waterman, RD CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

074-0000052 Issued in VT

Practice address

157 Towne Ave
Plainfield, VT 05667-9425

Phone

(802) 454-8336

Fax

(802) 454-8339

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Green Mountain Nutrition Associates

  • Registered Dietitian
  • Barre, VT
  • NPI 1932201407

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1194774372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056670320",
            "telephone_number": "802-454-8336",
            "fax_number": "802-454-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TOWNE AVE",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056679425",
            "telephone_number": "802-454-8336",
            "fax_number": "802-454-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "JANICE",
        "middle_name": "D",
        "credential": "RD CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "074-0000052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "074-0000052",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007166",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baylen K Slote, L.AC.
• Spruce Mountain Inn, Inc.
• Malcolm Patrick Van Couvering
• Elizabeth Mae Vanhorn, APRN,FNP-C, RNC-OB
• Cheyanne Elizabeth Warren, D.D.S.
• Sarah Watkins, LICSW
• Anthony J Witte, MD

• Registered Dietitian in Plainfield, VT
• Providers in Plainfield, VT by specialty
• Registered Dietitian in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.