Individual provider Active NPI

Claudia Mattil, RD

  • Registered Dietitian
  • Wilmington, DE
National Provider Identifier
1679888127
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN-0000667 Issued in DE
Practice address
100 W 10TH St
Wilmington, DE 19801-6603
Phone
(301) 237-4847
NPI assigned
Aug 9, 2010
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 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 DN-0000667 DE Primary

Addresses

Primary practice location

100 W 10TH St
Wilmington, DE 19801-6603

Mailing address

100 W 10TH St Ste 1100
Wilmington, DE 19801-6607

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html Direct Young Men's Christian Association of Delaware

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

State licenses

LicenseStateTypeSpecialty
DN-0000667DEMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1679888127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 10TH ST STE 1100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198016607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 10TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198016603",
            "telephone_number": "301-237-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIL",
        "first_name": "CLAUDIA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2024-11-06",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DE",
            "license": "DN-0000667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "Young Men's Christian Association of Delaware",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 W 10th St",
            "address_2": "Suite 1100",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198016603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.