Organization Active NPI

Devine Dietitian Nutrition Services PLLC

  • Registered Dietitian
  • Amityville, NY
National Provider Identifier
1437902392
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DEVINE DIETITIAN NUTRITION SERVICES PLLC
Practice address
27 Brewster LN
Amityville, NY 11701-2417
Phone
(631) 455-1498
NPI assigned
Apr 10, 2024
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Sarah Devine, RDNNPI 1770270407
Title
Registered Dietitian/Owner
Phone
(631) 455-1498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

27 Brewster LN
Amityville, NY 11701-2417

Mailing address

27 Brewster LN
Amityville, NY 11701-2417
Phone (631) 455-1498

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": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1437902392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BREWSTER LN",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012417",
            "telephone_number": "631-455-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BREWSTER LN",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012417",
            "telephone_number": "631-455-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE DIETITIAN NUTRITION SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "631-455-1498",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.