Individual provider Active NPI

Danielle Raymond Dellaquila, MS, CN

  • Nutritionist
  • Holyoke, MA
National Provider Identifier
1285261198
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
60779324 Issued in WA
Practice address
109 Ridgewood Ave
Holyoke, MA 01040-1823
Phone
(413) 320-1997
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 60779324 WA Primary

Addresses

Primary practice location

109 Ridgewood Ave
Holyoke, MA 01040-1823

Mailing address

109 Ridgewood Ave
Holyoke, MA 01040-1823
Phone (413) 320-1997

Other identifiers 1

IdentifierTypeStateIssuer
60779324OtherWAWASHINGTON STATE DEPARTMENT NUTRITION CERTIFICATION

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Holyoke Health Information Exchange (HIE)

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
60779324WAMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1285261198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RIDGEWOOD AVE",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401823",
            "telephone_number": "413-320-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 RIDGEWOOD AVE",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401823",
            "telephone_number": "413-320-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAQUILA",
        "first_name": "DANIELLE",
        "middle_name": "RAYMOND",
        "credential": "MS, CN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "60779324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT NUTRITION CERTIFICATION",
            "identifier": "60779324",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Holyoke",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Holyoke",
            "address_1": "109 Ridgewood Ave",
            "city": "Holyoke",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010401823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.