Active NPI
Devon Feero
- Registered Dietitian
- Glen Allen, VA
National Provider Identifier
1609442946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1003075
- Practice address
- 4870 Sadler Rd
Glen Allen, VA 23060-6294 - Phone
- (877) 896-8906
- NPI assigned
- May 27, 2021
- 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 | 1003075 | VA | Primary |
Addresses
Primary practice location
4870 Sadler Rd
Glen Allen, VA 23060-6294
Mailing address
1604 Mansfield Cir
Midlothian, VA 23114-1271
Other practice location 1
1 Harbor Dr Ste 300
Sausalito, CA 94965-1434
Phone (877) 896-8906
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003075 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1609442946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 MANSFIELD CIR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231141271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4870 SADLER RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606294",
"telephone_number": "877-896-8906"
}
],
"practiceLocations": [
{
"address_1": "1 Harbor Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Sausalito",
"state": "CA",
"postal_code": "949651434",
"country_code": "US",
"telephone_number": "877-896-8906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEERO",
"first_name": "DEVON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "1003075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.