Active NPI
Gina Marie Rancourt, MS, RDN, CD
- Registered Dietitian
- South Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3368
- Practice address
- 366 Dorset St Ste 10
South Burlington, VT 05403-4479 - Phone
- (802) 999-9207
- NPI assigned
- Nov 7, 2012
- Last updated
- Mar 17, 2018
- 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 | 3368 | MA | Primary |
Addresses
Primary practice location
366 Dorset St Ste 10
South Burlington, VT 05403-4479
Mailing address
PO Box 122
Waterbury, VT 05676-0122
Phone (508) 364-0461
Other practice location 1
27 Industrial Way
Georgetown, Grand Cayman 1102
KY
Phone (345) 324-2502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3368 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Health Nutrition, PLLC | Dietitian, Registered | Current | Accepting new patients |
| Elite Health and Wellness LLC | Past | Accepting new patients |
Locations
302 Mountain View Dr
Ste 101
Colchester, VT 05446
Phone (802) 999-9207
366 Dorset St
Ste 10
South Burlington, VT 05403
Phone (802) 654-7607
Organizations & group practices 2
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.
-
- Registered Dietitian
- Colchester, VT
- NPI 1205103017
Dietitian, Registered
-
- Physical Therapist
- Saint Albans, VT
- NPI 1164722716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1821342221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122",
"city": "WATERBURY",
"state": "VT",
"postal_code": "056760122",
"telephone_number": "508-364-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 DORSET ST STE 10",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054034479",
"telephone_number": "802-999-9207"
}
],
"practiceLocations": [
{
"address_1": "27 Industrial Way",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "Grand Cayman",
"postal_code": "1102",
"country_code": "KY",
"telephone_number": "345-324-2502",
"country_name": "Cayman Islands",
"address_type": "FGN"
}
],
"basic": {
"last_name": "RANCOURT",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "MS, RDN, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.