Individual provider Active NPI

Joanne Alison Levanway, RDN LD

  • Registered Dietitian
  • Gulfport, MS
National Provider Identifier
1821628967
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D1170 Issued in MS
Practice address
13701 Hidden Oaks Dr
Gulfport, MS 39503-7025
Phone
(228) 860-6058
Fax
(228) 832-1294
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X D1170 MS Primary

Addresses

Primary practice location

13701 Hidden Oaks Dr
Gulfport, MS 39503-7025

Mailing address

13701 Hidden Oaks Dr
Gulfport, MS 39503-7025
Phone (228) 860-6058

Other names 1

  • Ms. Joanne Alison Levanway Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group of New Jersey, P.C. Single Specialty Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1821628967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 HIDDEN OAKS DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395037025",
            "telephone_number": "228-860-6058",
            "fax_number": "228-832-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 HIDDEN OAKS DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395037025",
            "telephone_number": "228-860-6058",
            "fax_number": "228-832-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVANWAY",
        "first_name": "JOANNE",
        "middle_name": "ALISON",
        "name_prefix": "Miss",
        "credential": "RDN LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "LEVANWAY",
            "middle_name": "ALISON",
            "prefix": "MS.",
            "credential": "RD LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.