Ann Marie Barilla, RD
Individual provider Active NPI Registered Dietitian · Allentown, PA
NPI 1477501955 · NPPES record last updated Mar 24, 2020
Key facts
- NPI
- 1477501955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DN000875 (PA)
- Practice address
- 1200 S Cedar Crest Blvd
Allentown, PA 18103-6202 - Phone
- (610) 402-4802
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lehigh Valley Physician Group
Practice addresses (Care Compare)
3900 Hamilton Blvd
Suite 201
Allentown, PA 18103-6122
Phone (484) 664-7555
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031111000755 | PA | Practitioner - Registered Dietitian Or Nutrition Professional | 3971416280 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN000875 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Current |
Accepting new patients | |
| Lehigh Valley Hospital | Past | Accepting new patients | |
| Sodexo Operations LLC | Dietitian, Registered | Past | Accepting new patients |
| Lehigh Valley Hospital | Past | Accepting new patients |
Locations
2100 Mack Blvd
Fl 4
Allentown, PA 18103
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
3900 Hamilton Blvd
Ste 201
Allentown, PA 18103
Phone (484) 664-7520
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN000875 | PA | Yes |
Addresses
Primary practice location
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Other providers in Allentown, PA
- Joseph Barchini
- Ana Barco Wong
- Ashley Faye Bard
- Lawrence Wadi Bardawil
- Kimberlee Bardo
- Aries Baringer
- Betsy Barket
- Monica Barlet
- Abigail Barna
- Sarah Barnabas
All providers in Allentown, PA · Registered Dietitian in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.