Active NPI
Andrea Ciccone Troutner, RD, LD, LDN, CDCES
- Registered Dietitian
- Derwood, MD
National Provider Identifier
1497921647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D01420
- Practice address
- 19101 Artesian Court
Derwood, MD 20855 - Phone
- (301) 466-0611
- Fax
- (888) 570-4119
- NPI assigned
- May 7, 2008
- Sex
- Female
- Sole proprietor
- No
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 | D01420 | MD | Primary |
Addresses
Primary practice location
19101 Artesian Court
Derwood, MD 20855
Mailing address
19101 Artesian CT
Derwood, MD 20855
Phone (301) 466-0611
Other names 1
- Miss Andrea Mary Ciccone
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care for Wellness LLC | Dietitian, Registered | Current | Accepting new patients |
| MGH Community Health, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Olney, MD
- NPI 1750386082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1497921647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19101 ARTESIAN CT",
"city": "DERWOOD",
"state": "MD",
"postal_code": "20855",
"telephone_number": "301-466-0611",
"fax_number": "888-570-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19101 ARTESIAN COURT",
"city": "DERWOOD",
"state": "MD",
"postal_code": "20855",
"telephone_number": "301-466-0611",
"fax_number": "888-570-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUTNER",
"first_name": "ANDREA",
"middle_name": "CICCONE",
"name_prefix": "Mrs.",
"credential": "RD, LD, LDN, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "D01420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "CICCONE",
"middle_name": "MARY",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Derwood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.