Veronique Champagne Pettitt, RD, CSR

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

86057834 Issued in VA

Practice address

304 S Monterey Dr
Chesapeake, VA 23320-3302

Phone

(757) 609-5877

NPI assigned

Nov 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Laval Universite, Faculte de Medecine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vero Nutrition, LLC

  • Renal Nutrition Registered Dietitian
  • Chesapeake, VA
  • NPI 1669242517

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Prana Diabetes Inc

  • Case Management Agency
  • Chicago, IL
  • NPI 1144722653
  NPD

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1508401589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S MONTEREY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203302",
            "telephone_number": "757-609-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S MONTEREY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203302",
            "telephone_number": "757-609-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTITT",
        "first_name": "VERONIQUE",
        "middle_name": "CHAMPAGNE",
        "credential": "RD, CSR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "VA",
            "license": "86057834",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86057834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnte Latryce Peterson, LMT, MPH, CHES
• Petersons Empowerment Services LLC
• Virginia Ellen Petree, D.C.
• Michael Petruschak, M.D.
• Kierra Pettigrew, RBT
• Ryan Peyton, RN
• Penelope L Pezzella, RPH
• Yvette B Pfeffer, MD
• Kelly Phan
• Sang Hoang Phuoc Phan, PA

• Renal Nutrition Registered Dietitian in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Renal Nutrition Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.