Active NPI
Dianne Cameron Vick, RD
- Registered Dietitian
- Franklin, VA
National Provider Identifier
1811064025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 721778
- Practice address
- 100 Fairview Dr
Franklin, VA 23851-1238 - Phone
- (757) 569-6138
- Fax
- (757) 569-6452
- NPI assigned
- Nov 30, 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 | 721778 | VA | Primary |
Addresses
Primary practice location
100 Fairview Dr
Franklin, VA 23851-1238
Mailing address
21187 Indian Town Rd
Courtland, VA 23837-2449
Phone (757) 653-0127
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 721778 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811064025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21187 INDIAN TOWN RD",
"city": "COURTLAND",
"state": "VA",
"postal_code": "238372449",
"telephone_number": "757-653-0127",
"fax_number": "757-569-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FAIRVIEW DR",
"city": "FRANKLIN",
"state": "VA",
"postal_code": "238511238",
"telephone_number": "757-569-6138",
"fax_number": "757-569-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICK",
"first_name": "DIANNE",
"middle_name": "CAMERON",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "721778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin, VA
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.