Individual provider Active NPI

Charlotte Letitia Henry, DRPH, RD, CDE

  • Registered Dietitian
  • St Croix, VI
National Provider Identifier
1811018807
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
4500 Sunny Isle
Suite 1B
St Croix, VI 00820-4493
Phone
(340) 719-2770
Fax
(340) 719-8338
NPI assigned
Apr 3, 2007
Last updated
Nov 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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 NU Primary

Addresses

Primary practice location

4500 Sunny Isle
Suite 1B
St Croix, VI 00820-4493

Mailing address

PO Box 5337
St Croix, VI 00823-5337
Phone (340) 719-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000573 VI Practitioner - Registered Dietitian Or Nutrition Professional 7416901525 Reassigns benefits to 1 organization
Practice locations: St Croix, VI

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4500 Sunny Isle
Suite 1B
Christiansted, VI 00820-4493
Phone (340) 719-2770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Prevention Specialists LLC Dietitian, Registered CurrentSince May 8, 2024 Accepting new patients

Locations

4500 Sunny Isle
Ste 1B
St Croix, VI 00820
Phone (340) 719-2770

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1811018807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5337",
            "city": "ST CROIX",
            "state": "VI",
            "postal_code": "008235337",
            "telephone_number": "340-719-2770",
            "fax_number": "340-719-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SUNNY ISLE",
            "address_2": "SUITE 1B",
            "city": "ST CROIX",
            "state": "VI",
            "postal_code": "008204493",
            "telephone_number": "340-719-2770",
            "fax_number": "340-719-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CHARLOTTE",
        "middle_name": "LETITIA",
        "name_prefix": "Dr.",
        "credential": "DRPH, RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Croix, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.