Active NPI
Deborah Wane, RD, LDN
- Registered Dietitian
- Lowell, MA
National Provider Identifier
1558569210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2028
- Practice address
- 295 Varnum Ave
Lowell, MA 01854-2134 - Phone
- (978) 937-6000
- NPI assigned
- Jul 4, 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 | 2028 | MA | Primary |
Addresses
Primary practice location
295 Varnum Ave
Lowell, MA 01854-2134
Mailing address
1071 Methuen St
Dracut, MA 01826-5312
Phone (978) 458-3748
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2028 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558569210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1071 METHUEN ST",
"city": "DRACUT",
"state": "MA",
"postal_code": "018265312",
"telephone_number": "978-458-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542134",
"telephone_number": "978-937-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANE",
"first_name": "DEBORAH",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.