Elizabeth A Derry, RD, CD, CDE
Individual provider Active NPI Registered Dietitian · Windsor, VT
NPI 1821084302 · NPPES record last updated Dec 19, 2008
Key facts
- NPI
- 1821084302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 074-0000187 (VT)
- Practice address
- 289 County Rd
Windsor, VT 05089-9000 - Phone
- (802) 674-7300
- Fax
- (802) 674-7314
- NPI assigned
- Sep 21, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074-0000187 | VT | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 074-0000187 | VT | Yes |
Addresses
Primary practice location
289 County Rd
Windsor, VT 05089-9000
Mailing address
289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-7300
Other providers in Windsor, VT
- Francesco Congiusta
- Connecticut Valley Addiction Recovery, Inc
- Connecticut Valley Recovery Services, Inc.
- Christopher C Connor
- Heidi M Cruz
- Katherine Devine
- William Diez
- Ginger Dockum
- Dorina Kramer, DDS
- Ruth E Dougher
All providers in Windsor, VT · Registered Dietitian in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.