Individual provider Active NPI

Devon Amanda Brownlee, MS, RD, LDN

  • Registered Dietitian
  • Williston, VT
National Provider Identifier
1689290090
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
373 Blair Park Rd Unit 100
Williston, VT 05495-8077
Phone
(802) 391-4050
NPI assigned
Jun 22, 2020
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

373 Blair Park Rd Unit 100
Williston, VT 05495-8077

Mailing address

20 W Canal St Apt 502
Winooski, VT 05404-2136
Phone (802) 249-7884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613001721 VT Practitioner - Registered Dietitian Or Nutrition Professional 3072991553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
The Adams Center for Mind and Body, LLC Dietitian, Registered CurrentSince May 16, 2022 Accepting new patients
The Adams Center for Mind & Body LLC Dietitian, Registered CurrentSince May 16, 2022 Accepting new patients
No Diet Dietitian, LLC Dietitian, Registered PastSince Jun 28, 2020 Accepting new patients

Locations

1233 Shelburne Rd
Ste D2
South Burlington, VT 05403
Phone (802) 859-1577

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1689290090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W CANAL ST APT 502",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042136",
            "telephone_number": "802-249-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 BLAIR PARK RD UNIT 100",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958077",
            "telephone_number": "802-391-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNLEE",
        "first_name": "DEVON",
        "middle_name": "AMANDA",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.