Organization Active NPI

Dolce Vita Nutrition

  • Registered Dietitian
  • Bryn Mawr, PA
National Provider Identifier
1407369465
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003698 Issued in PA
Legal business name
DOLCE VITA NUTRITION
Practice address
14 Thomas Ave
Bryn Mawr, PA 19010-2607
Phone
(610) 529-7966
NPI assigned
Nov 13, 2017
Last updated
Nov 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Kristen Roscioli, RD, CSP, LDNNPI 1568584167
Title
Dietitian/Owner
Phone
(610) 529-7966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DN003698 PA Primary

Addresses

Primary practice location

14 Thomas Ave
Bryn Mawr, PA 19010-2607

Mailing address

208 Brookwood Dr
Ambler, PA 19002-5025
Phone (610) 529-7966

Other identifiers 1

IdentifierTypeStateIssuer
1030490710001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1407369465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BROOKWOOD DR",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025025",
            "telephone_number": "610-529-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 THOMAS AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102607",
            "telephone_number": "610-529-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLCE VITA NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "ROSCIOLI",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DIETITIAN/OWNER",
        "authorized_official_telephone_number": "610-529-7966",
        "authorized_official_credential": "RD, CSP, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030490710001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.