Individual provider Active NPI

Patricia Dinunzio-Ruth, R.D.,LDN

  • Registered Dietitian
  • Lansdale, PA
National Provider Identifier
1467587311
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN001085 Issued in PA
Practice address
1101 S Broad St
Lansdale, PA 19446-5393
Phone
(215) 896-4902
Fax
(215) 362-3414
NPI assigned
Feb 22, 2007
Last updated
Apr 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN001085 PA Primary

Addresses

Primary practice location

1101 S Broad St
Lansdale, PA 19446-5393

Mailing address

867 Kulp Rd
Harleysville, PA 19438-1008
Phone (215) 256-6259

Other identifiers 1

IdentifierTypeStateIssuer
5981479OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100622000130 PA Practitioner - Registered Dietitian Or Nutrition Professional 6800927740 Practice locations: Lansdale, PA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 S Broad St
Lansdale, PA 19446-5393
Phone (215) 896-4902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trivalley Primary Care, PC PastSince Apr 1, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1467587311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 KULP RD",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381008",
            "telephone_number": "215-256-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465393",
            "telephone_number": "215-896-4902",
            "fax_number": "215-362-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINUNZIO-RUTH",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "R.D.,LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5981479",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.