Active NPI
Anastasia Nevin, M.S., R.D.
- Registered Dietitian
- New York, NY
National Provider Identifier
1770844813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1083729
- Practice address
- 1841 Broadway RM 806
New York, NY 10023-7603 - Phone
- (310) 963-1491
- NPI assigned
- Jun 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1083729 | NY | Primary |
Addresses
Primary practice location
1841 Broadway RM 806
New York, NY 10023-7603
Mailing address
1841 Broadway RM 806
New York, NY 10023-7603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 27, 2016 through Dec 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007697 | NY | MD | Mental Health Counselor |
| 1083729 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1770844813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 BROADWAY RM 806",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100237603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 BROADWAY RM 806",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100237603",
"telephone_number": "310-963-1491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVIN",
"first_name": "ANASTASIA",
"credential": "M.S., R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1083729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.