Rose A. Trevouledes, MS., RD., LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN001880 Issued in PA

Practice address

10 Shady Lane
Suite 202
Muncy, PA 17756

Phone

(570) 546-3633

Fax

(570) 546-3663

NPI assigned

May 22, 2013

Last updated

May 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1699111229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHADY LANE",
            "address_2": "SUITE 202",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "17756",
            "telephone_number": "570-546-3633",
            "fax_number": "570-546-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHADY LANE",
            "address_2": "SUITE 202",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "17756",
            "telephone_number": "570-546-3633",
            "fax_number": "570-546-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVOULEDES",
        "first_name": "ROSE",
        "middle_name": "A.",
        "credential": "MS., RD., LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Upmc Muncy

• Registered Dietitian in Muncy, PA
• Providers in Muncy, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.