Active NPI
Deana Marie Novembrino, MS, RD, CD
- Registered Dietitian
- Williston, VT
National Provider Identifier
1902945397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 074-0000227
- Practice address
- 214 Cedar LN
Williston, VT 05495-4036 - Phone
- (803) 876-7135
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 074-0000227 | VT | Primary |
Addresses
Primary practice location
214 Cedar LN
Williston, VT 05495-4036
Mailing address
PO Box 1494
Williston, VT 05495-1494
Phone (803) 876-7135
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074-0000227 | VT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1902945397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1494",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054951494",
"telephone_number": "803-876-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 CEDAR LN",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054954036",
"telephone_number": "803-876-7135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVEMBRINO",
"first_name": "DEANA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS, RD, CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VT",
"license": "074-0000227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.