Individual provider Active NPI

Deanna Lagreca, RD, CDN, CSO, CNSC

  • Registered Dietitian
  • Wantagh, NY
National Provider Identifier
1649027939
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2175 Wantagh Ave Unit 205
Wantagh, NY 11793-3972
Phone
(516) 344-5542
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

2175 Wantagh Ave Unit 205
Wantagh, NY 11793-3972

Mailing address

3 Town House PL Apt 1B
Great Neck, NY 11021-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724003607 NY Practitioner - Registered Dietitian Or Nutrition Professional 0446796585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real You Nutrition PLLCGroup PAC ID 7618287129, 2 clinicians

Practice addresses (Care Compare)

2175 Wantagh Ave
Wantagh, NY 11793-3972
Phone (516) 344-5542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Real You Nutrition PLLC Dietitian, Registered CurrentSince Jul 1, 2024 Accepting new patients
Northeast Psychological Wellness, PLLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

2175 Wantagh Ave
Wantagh, NY 11793
Phone (516) 344-5542

2175 Wantagh Ave
Unit 205
Wantagh, NY 11793
Phone (516) 344-5542

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": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1649027939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TOWN HOUSE PL APT 1B",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 WANTAGH AVE UNIT 205",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933972",
            "telephone_number": "516-344-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGRECA",
        "first_name": "DEANNA",
        "credential": "RD, CDN, CSO, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.