Active NPI
Deborah Ann Kuchenba, RO LDN
- Registered Dietitian
- Wilkes Barre, PA
National Provider Identifier
1790793701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN001680
- Practice address
- 1111 East End Blvd
VA Medical Center
Wilkes Barre, PA 18711 - Phone
- (570) 824-3521
- Fax
- (570) 819-5182
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 | DN001680 | PA | Primary |
Addresses
Primary practice location
1111 East End Blvd
VA Medical Center
Wilkes Barre, PA 18711
Mailing address
1111 East End Blvd
VA Medical Center
Wilkes Barre, PA 18711
Phone (570) 824-3521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN001680 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790793701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 EAST END BLVD",
"address_2": "VA MEDICAL CENTER",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "18711",
"telephone_number": "570-824-3521",
"fax_number": "570-819-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 EAST END BLVD",
"address_2": "VA MEDICAL CENTER",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "18711",
"telephone_number": "570-824-3521",
"fax_number": "570-819-5182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHENBA",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "RO LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN001680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.