Individual provider Active NPI

Deven Rose Tortolani, RD

  • Registered Dietitian
  • Allentown, PA
National Provider Identifier
1366183733
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
6750 Iroquois TRL Ste 12
Allentown, PA 18104-8644
Phone
(610) 395-9595
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X PA Primary

Addresses

Primary practice location

6750 Iroquois TRL Ste 12
Allentown, PA 18104-8644

Mailing address

6750 Iroquois TRL Ste 12
Allentown, PA 18104-8644
Phone (610) 395-9595

Other identifiers 1

IdentifierTypeStateIssuer
86152351OtherCOMMISSION ON DIETETIC REGISTRATION

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Thinking Fitness LLC Dietitian, Registered CurrentSince Apr 10, 2022 Accepting new patients

Locations

6750 Iroquois Trl
Ste 12
Allentown, PA 18104
Phone (610) 395-9595

Organizations & group practices 1

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1366183733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 IROQUOIS TRL STE 12",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048644",
            "telephone_number": "610-395-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 IROQUOIS TRL STE 12",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048644",
            "telephone_number": "610-395-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORTOLANI",
        "first_name": "DEVEN",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86152351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.