Farryl Mac Kenna Witten Bertmann, PHD, RDN, CD, FAND

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1093072 Issued in VT

Practice address

109 Carrigan Dr
Burlington, VT 05405-0086

Phone

(802) 656-4336

NPI assigned

Nov 4, 2025

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

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1790654028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CARRIGAN DR",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054050086",
            "telephone_number": "802-656-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CARRIGAN DR",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054050086",
            "telephone_number": "802-656-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTMANN",
        "first_name": "FARRYL",
        "middle_name": "MAC KENNA WITTEN",
        "name_prefix": "Dr.",
        "credential": "PHD, RDN, CD, FAND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "1093072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Burlington, VT
• Providers in Burlington, VT by specialty
• Registered Dietitian in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.