Active NPI
Deanna Harlow, MS, RD, CD
- Registered Dietitian
- Vernon, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86148088
- Practice address
- 2 Trail Run Apt 4112
Vernon, CT 06066-3974 - Phone
- (978) 457-0625
- NPI assigned
- Jul 31, 2023
- Last updated
- Jul 31, 2023
- 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 | 86148088 | CT | Primary |
Addresses
Primary practice location
2 Trail Run Apt 4112
Vernon, CT 06066-3974
Mailing address
2 Trail Run Apt 4112
Vernon, CT 06066-3974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8301 B 5TH Ave NE
Seattle, WA 98115-4118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86148088 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dandelion Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish RX, LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
4405 7th Ave SE
Ste 200
Lacey, WA 98503
Phone (360) 200-8071
4400 NE 77th Ave
Ste 275
Vancouver, WA 98662
Phone (206) 799-7010
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dandelion Nutrition
- Registered Dietitian
- Lacey, WA
- NPI 1285046292
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1245911395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TRAIL RUN APT 4112",
"city": "VERNON",
"state": "CT",
"postal_code": "060663974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TRAIL RUN APT 4112",
"city": "VERNON",
"state": "CT",
"postal_code": "060663974",
"telephone_number": "978-457-0625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLOW",
"first_name": "DEANNA",
"credential": "MS, RD, CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "86148088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.