Active NPI
Zena Lee Duckett, MA, RDN, LDN, CDCES
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1598322604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006469
- Practice address
- Two Logan Square, 100 N 18TH Street
Suite 324
Philadelphia, PA 19103-2733 - Phone
- (610) 470-5246
- NPI assigned
- May 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | DN006469 | PA | Primary |
Addresses
Primary practice location
Two Logan Square, 100 N 18TH Street
Suite 324
Philadelphia, PA 19103-2733
Mailing address
319 Bala Ter W
West Chester, PA 19380-1139
Phone (610) 470-5246
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN006469 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pura Vida Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1598322604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 BALA TER W",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193801139",
"telephone_number": "610-470-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TWO LOGAN SQUARE, 100 N 18TH STREET",
"address_2": "SUITE 324",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191032733",
"telephone_number": "610-470-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCKETT",
"first_name": "ZENA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MA, RDN, LDN, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-23",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.