Active NPI
Stephanie Rivers, RDN
- Registered Dietitian
- Newport, VT
National Provider Identifier
1861840563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 074.0113108
- Practice address
- 189 Prouty Dr
Newport, VT 05855-9326 - Phone
- (802) 334-4158
- Fax
- (802) 334-3515
- NPI assigned
- Jun 3, 2016
- 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 | 074.0113108 | VT | Primary |
Addresses
Primary practice location
189 Prouty Dr
Newport, VT 05855-9326
Mailing address
189 Prouty Dr
Newport, VT 05855-9326
Phone (802) 334-4158
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 |
|---|---|---|---|
| 074.0113108 | VT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1861840563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 PROUTY DR",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058559326",
"telephone_number": "802-334-4158",
"fax_number": "802-334-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 PROUTY DR",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058559326",
"telephone_number": "802-334-4158",
"fax_number": "802-334-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERS",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VT",
"license": "074.0113108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.