Individual provider Active NPI

Courtney Anderson Degaris, MS, RD, LD

  • Gerontological Nutrition Registered Dietitian
  • Birmingham, AL
National Provider Identifier
1649923129
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontological Nutrition Registered DietitianTaxonomy code 133VN1101X
License
4016 Issued in AL
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

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
4016ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Center for Eating Disorders CurrentSince Feb 6, 2022 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.

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.

Verify at the official NPI Registry.