Active NPI
Dianne Van Treeck, MS,RD,CDE,LD/N
- Registered Dietitian
- Boynton Beach, FL
National Provider Identifier
1437231073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 849
- Practice address
- 1375 Gateway Blvd
Boynton Beach, FL 33426-8304 - Phone
- (561) 737-1070
- Fax
- (561) 536-0411
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND 849 | FL | Primary |
Addresses
Primary practice location
1375 Gateway Blvd
Boynton Beach, FL 33426-8304
Mailing address
1375 Gateway Blvd
Boynton Beach, FL 33426-8304
Phone (561) 737-1070
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPI | Other | FL | AETNA |
| 1169978 | Other | FL | COVENTRY HEALTHCARE |
| PR47554650001 | Other | FL | CIGNA |
| NPI | Other | FL | UNITED HEALTHCARE |
| GGXLB | Other | FL | FL BLUE HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040228000070 | FL | Practitioner - Registered Dietitian Or Nutrition Professional | 3870489693 | Practice locations: Boynton BCH, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1375 Gateway Blvd
Boynton BCH, FL 33426-8304
Phone (561) 737-1070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 849 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1437231073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 GATEWAY BLVD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268304",
"telephone_number": "561-737-1070",
"fax_number": "561-536-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 GATEWAY BLVD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268304",
"telephone_number": "561-737-1070",
"fax_number": "561-536-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN TREECK",
"first_name": "DIANNE",
"credential": "MS,RD,CDE,LD/N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "NPI",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTHCARE",
"identifier": "1169978",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PR47554650001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "NPI",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BLUE HMO",
"identifier": "GGXLB",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.