Devon Ragan
Individual provider Active NPI Nutritionist · Conowingo, MD
NPI 1366054777 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1366054777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- Practice address
- 432 Johnson Rd
Conowingo, MD 21918-1325 - Phone
- (443) 747-1071
- NPI assigned
- Aug 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- New York Chiropractic College, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
432 Johnson Rd
Conowingo, MD 21918-1325
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251022003953 | MD | Practitioner - Registered Dietitian Or Nutrition Professional | 1658869540 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devon Ragan, LLC | Nutritionist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Nutritionist | 133N00000X | Yes |
Addresses
Primary practice location
432 Johnson Rd
Conowingo, MD 21918-1325
Mailing address
432 Johnson Rd
Conowingo, MD 21918-1325
Other providers in Conowingo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.