Clara Di Vincenzo, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86058876 Issued in TX

Practice address

1601 Trinity St Stop a
Austin, TX 78712-1766

Phone

(844) 442-8784

Fax

(512) 495-5680

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clara.di.vincenzo.1@8363.direct.athenahealth.com

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.

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  Multi-Specialty

  Medicare reassignment NPD
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  • Austin, TX
  • NPI 1275290694
  NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1982218897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 BAYOU PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771136",
            "telephone_number": "713-854-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST STOP A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121766",
            "telephone_number": "844-442-8784",
            "fax_number": "512-495-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI VINCENZO",
        "first_name": "CLARA",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "86058876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Quitta Dhyne, PA
• Garrett Di Biase, LMT
• Candice Di Iorio, APRN, WHNP-BC
• Michael Mario Di Iorio, MD
• Francesca Marie Di Rienzo
• Ann Diab, OTR
• Diabetes and Nutrition Partners, LLC
• Diabetic Footwear 4 U
• Fatou Diack, LCSW
• Khady Diagne, PA-C

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.