Organization Active NPI

Vero Nutrition, LLC

  • Renal Nutrition Registered Dietitian
  • Chesapeake, VA
National Provider Identifier
1669242517
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
Legal business name
VERO NUTRITION, LLC
Practice address
304 S Monterey Dr
Chesapeake, VA 23320-3302
Phone
(757) 453-5473
NPI assigned
Jan 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Veronique Pettitt, RDNPI 1508401589
Title
Dietitian
Phone
(757) 453-5473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Renal Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1005X Primary

Addresses

Primary practice location

304 S Monterey Dr
Chesapeake, VA 23320-3302

Mailing address

304 S Monterey Dr
Chesapeake, VA 23320-3302
Phone (757) 453-5473

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240619000075 VA Part B Supplier - Clinic/Group Practice 7416490412 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1669242517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S MONTEREY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203302",
            "telephone_number": "757-453-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S MONTEREY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203302",
            "telephone_number": "757-453-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "PETTITT",
        "authorized_official_first_name": "VERONIQUE",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "757-453-5473",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.