Active NPI
Courtney Anderson Degaris, MS, RD, LD
- Gerontological Nutrition Registered Dietitian
- Birmingham, AL
National Provider Identifier
1649923129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontological Nutrition Registered Dietitian
- License
- 4016
- Practice address
- 2401 Arlington Ave S
Birmingham, AL 35205-4113 - Phone
- (205) 933-0041
- NPI assigned
- Feb 3, 2022
- 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 |
|---|---|---|---|---|
| Gerontological Nutrition Registered Dietitian | 133VN1101X | 4016 | AL | Primary |
Addresses
Primary practice location
2401 Arlington Ave S
Birmingham, AL 35205-4113
Mailing address
2401 Arlington Ave S
Birmingham, AL 35205-4113
Phone (205) 933-0041
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | b.degaris@acenterforeatingdisorders.com | Direct |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4016 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Center for Eating Disorders | Current | Accepting new patients |
Locations
2401 Arlington Ave S
Birmingham, AL 35205
Phone (205) 933-0041
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.
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- Birmingham, AL
- NPI 1427295781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1649923129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 ARLINGTON AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054113",
"telephone_number": "205-933-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 ARLINGTON AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054113",
"telephone_number": "205-933-0041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGARIS",
"first_name": "COURTNEY",
"middle_name": "ANDERSON",
"name_prefix": "Mrs.",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1101X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": "AL",
"license": "4016",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "b.degaris@acenterforeatingdisorders.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "2401 Arlington Ave S",
"city": "Birmingham",
"state": "AL",
"country_code": "US",
"postal_code": "352054113",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.