Individual provider Active NPI

Dana Renae Notte, RD

  • Registered Dietitian
  • South Burlington, VT
National Provider Identifier
1770928152
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
074.0072351 Issued in VT
Practice address
34 Cortland Ave
South Burlington, VT 05403-7355
Phone
(802) 236-9516
NPI assigned
Apr 30, 2013
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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 074.0072351 VT Primary

Addresses

Primary practice location

34 Cortland Ave
South Burlington, VT 05403-7355

Mailing address

34 Cortland Ave
South Burlington, VT 05403-7355
Phone (802) 236-9516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 7, 2019 through May 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
074.0072351VTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Thrivinspired Wellness & Consulting LLC Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

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": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1770928152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CORTLAND AVE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037355",
            "telephone_number": "802-236-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CORTLAND AVE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037355",
            "telephone_number": "802-236-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTTE",
        "first_name": "DANA",
        "middle_name": "RENAE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "074.0072351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.