Toni H. Devane, RDN

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

996903 Issued in NC

Practice address

415 Bermuda Run Rd
Elizabethtown, NC 28337-9813

Phone

(910) 862-1017

NPI assigned

Jul 7, 2021

Last updated

Jul 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: tdevane@pentechealth.com

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1316518749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CREEK PKWY",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190613132",
            "telephone_number": "610-494-8700",
            "fax_number": "800-355-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BERMUDA RUN RD",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379813",
            "telephone_number": "910-862-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANE",
        "first_name": "TONI",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "L003166",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "996903",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NC",
            "license": "996903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdevane@pentechealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "415 Bermuda Run Rd",
            "city": "Elizabethtown",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283379813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cromartie Enterprise LLC
• Samuel Ray Cross
• Cumberland County Hospital System Inc (CFV Foot and Ankle Center)
• Evelyn Rene Delieto, MA, CCC-SLP
• Jackie G Dennis, RN
• Breana Zhane Danielle Dickens, LCSWA
• Dickersons Pharmacy Inc
• Direccare Behavioral Services
• Direccare Behavioral Services, Inc
• Direccare Behavioral Services, Inc.

• Renal Nutrition Registered Dietitian in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Renal Nutrition Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.