Individual provider Active NPI

Vicky Vrabel, M ED, RD, LDN

  • Registered Dietitian
  • White Plains, MD
National Provider Identifier
1265791925
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX2925 Issued in MD
Practice address
Core Value Corporation Dba Southern Maryland Dietitian
4560 Crain Highway, Suite 11
White Plains, MD 20605
Phone
(240) 210-9725
Fax
(240) 366-1161
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN003279 PA
Registered Dietitian 133V00000X DX2925 MD Primary

Addresses

Primary practice location

Core Value Corporation Dba Southern Maryland Dietitian
4560 Crain Highway, Suite 11
White Plains, MD 20605

Mailing address

Core Value Corporation Dba Southern Maryland Dietitian
4560 Crain Highway, Suite 11
White Plains, MD 20605
Phone (240) 210-9825

Other practice location 1

2907 Pleasant Valley Blvd
James E. Zandt VA Medical Center
Altoona, PA 16602-4305
Phone (814) 943-8164 ext. 7402

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
DX2925MDMDRegistered Dietitian
DN003279PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Core Value Corporation Dietitian, Registered PastSince Aug 4, 2024 Accepting new patients
Upmc Western Maryland Health Services, LLC Dietitian, Registered Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1265791925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CORE VALUE CORPORATION DBA SOUTHERN MARYLAND DIETITIAN",
            "address_2": "4560 CRAIN HIGHWAY, SUITE 11",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "20605",
            "telephone_number": "240-210-9825",
            "fax_number": "204-366-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORE VALUE CORPORATION DBA SOUTHERN MARYLAND DIETITIAN",
            "address_2": "4560 CRAIN HIGHWAY, SUITE 11",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "20605",
            "telephone_number": "240-210-9725",
            "fax_number": "240-366-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2907 Pleasant Valley Blvd",
            "address_2": "James E. Zandt VA Medical Center",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166024305",
            "country_code": "US",
            "telephone_number": "814-943-8164 x7402",
            "fax_number": "814-940-7862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VRABEL",
        "first_name": "VICKY",
        "name_prefix": "Ms.",
        "credential": "M ED, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003279",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX2925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.