Individual provider Active NPI

Donabel Algodon Little, MPH, NDTR, CDM-CFPP

  • Registered Dietetic Technician
  • Tamuning, GU
National Provider Identifier
1497530026
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Dietetic TechnicianTaxonomy code 136A00000X
License
1062722 Issued in GU
Practice address
219 S Marine Corps Dr Ste 200
Tamuning, GU 96913-3927
Phone
(671) 646-6956
NPI assigned
Aug 30, 2023
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietetic Technician 136A00000X 1062722 GU Primary

Addresses

Primary practice location

219 S Marine Corps Dr Ste 200
Tamuning, GU 96913-3927

Mailing address

1009 Sara LN
Ogden, UT 84404-7627
Phone (385) 445-1938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1062722GUMDRegistered Dietetic Technician

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1497530026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 SARA LN",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844047627",
            "telephone_number": "385-445-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S MARINE CORPS DR STE 200",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133927",
            "telephone_number": "671-646-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "DONABEL",
        "middle_name": "ALGODON",
        "name_prefix": "Mrs.",
        "credential": "MPH, NDTR, CDM-CFPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "GU",
            "license": "1062722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.