Active NPI
Danette Renee McPherson, LDN
- Registered Dietitian
- Jersey Shore, PA
National Provider Identifier
1518156546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN003803
- Practice address
- 1020 Thompson St
Jersey Shore, PA 17740-1729 - Phone
- (570) 398-0100
- Fax
- (570) 398-3999
- NPI assigned
- Oct 16, 2007
- 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 | DN003803 | PA | Primary |
Addresses
Primary practice location
1020 Thompson St
Jersey Shore, PA 17740-1729
Mailing address
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN003803 | Other | PA | PA LICENSE # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmcpherson165740@direct.geisinger.edu | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1518156546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178229800",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 THOMPSON ST",
"city": "JERSEY SHORE",
"state": "PA",
"postal_code": "177401729",
"telephone_number": "570-398-0100",
"fax_number": "570-398-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHERSON",
"first_name": "DANETTE",
"middle_name": "RENEE",
"credential": "LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-16",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN003803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE #",
"identifier": "DN003803",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmcpherson165740@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1020 Thompson St",
"city": "Jersey Shore",
"state": "PA",
"country_code": "US",
"postal_code": "177401729",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jersey Shore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.