Individual provider Active NPI

Vince Ranalli, MASTER DPP TRAINER

  • Health Educator
  • Pittsburgh, PA
National Provider Identifier
1396390506
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
5750 Baum Blvd # 306
Pittsburgh, PA 15206-3793
Phone
(412) 593-2048
Fax
(844) 311-7396
NPI assigned
Aug 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

5750 Baum Blvd # 306
Pittsburgh, PA 15206-3793

Mailing address

5750 Baum Blvd Ste 306
Pittsburgh, PA 15206-3793
Phone (412) 593-2048

Other identifiers 2

IdentifierTypeStateIssuer
888703OtherIN PERSON CDC DPP CERT
1038862390002MedicaidPA

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
Case Specific Nutrition LLC Health Educator CurrentSince Feb 1, 2024 Accepting new patients
Case Specific Nutrition LLC Health Educator Past Accepting new patients
Case Specific Nutrition LLC Health Educator Past Accepting new patients

Locations

5750 Baum Blvd
Ste 306
Pittsburgh, PA 15206
Phone (412) 593-2048

5750 Baum Blvd
#306
Pittsburgh, PA 15206
Phone (412) 593-2048

Organizations & group practices 3

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1396390506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BAUM BLVD STE 306",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063793",
            "telephone_number": "412-593-2048",
            "fax_number": "844-311-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BAUM BLVD # 306",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063793",
            "telephone_number": "412-593-2048",
            "fax_number": "844-311-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANALLI",
        "first_name": "VINCE",
        "credential": "MASTER DPP TRAINER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN PERSON CDC DPP CERT",
            "identifier": "888703",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038862390002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.