Anick Pauline Desorcy, R.D.
Individual provider Active NPI Registered Dietitian · Newport, VT
NPI 1922189786 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922189786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 0740000150 (VT)
- Practice address
- 189 Prouty Dr
Newport, VT 05855-9326 - Phone
- (802) 334-4155
- Fax
- (802) 334-3585
- NPI assigned
- Oct 18, 2006
- 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
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0740000150 | VT | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 0740000150 | VT | Yes |
Addresses
Primary practice location
189 Prouty Dr
Newport, VT 05855-9326
Mailing address
10 Pleasant Street
Stanstead, QUEBEC J0B3E2
CA
Phone (819) 876-2596
Other providers in Newport, VT
- Donald D Dahlin
- Tonya M Davis
- Deering Counseling LLC
- Bryan A Dellaria
- Denise a. Niemira, M.D., P.C.
- Rachel Dollar
- Jane Donaghy
- Donald D Dahlin DDS PLC
- Colleen Lafleur Doty
- Alice Pitman Drown
All providers in Newport, VT · Registered Dietitian in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.