Carole June Havrila, RD, CSO
Individual provider Active NPI Registered Dietitian · Ruckersville, VA
NPI 1821594987 · NPPES record last updated Apr 5, 2018
Key facts
- NPI
- 1821594987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 00722000
- Practice address
- 18 Spring Oaks Lane
Ruckersville, VA 22968 - Phone
- (434) 465-0899
- NPI assigned
- Apr 5, 2018
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00722000 | Yes |
Addresses
Primary practice location
18 Spring Oaks Lane
Ruckersville, VA 22968
Mailing address
1240 Lee St
Charlottesville, VA 22908-0817
Phone (434) 243-9627
Other providers in Ruckersville, VA
- Greene Comprehensive Family Dentistry PLC
- Greene Family Dentistry
- Ashli Gregory
- Gianni Hansen
- Ashley Alexandra Harvey
- Health & Balance Chiropractic Clinic, LLC
- Margaret Ellen Heavilon
- James Hovermale
- Christy Huey
- Imperial Blue Medical LLC
All providers in Ruckersville, VA · Registered Dietitian in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2018. 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.