Active NPI
Danielle Dechellis, RD, LDN
- Registered Dietitian
- Tampa, FL
National Provider Identifier
1639610405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 8287
- Practice address
- 1012 W Alfred St
Tampa, FL 33603-5310 - Phone
- (813) 906-8372
- NPI assigned
- Mar 13, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 8287 | FL | Primary |
| Registered Dietitian | 133V00000X | 63373161 | PA |
Addresses
Primary practice location
1012 W Alfred St
Tampa, FL 33603-5310
Mailing address
1012 W Alfred St
Tampa, FL 33603-5310
Phone (813) 906-8372
Other names 1
- Danielle Sansilow
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 |
|---|---|---|---|
| 8287 | FL | MD | General Practice Dentistry |
| 63373161 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1639610405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 W ALFRED ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336035310",
"telephone_number": "813-906-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 W ALFRED ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336035310",
"telephone_number": "813-906-8372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECHELLIS",
"first_name": "DANIELLE",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-13",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "8287",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "63373161",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "SANSILOW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.