Active NPI
Deborah Ann Justice, R.D., L.D.N.
- Registered Dietitian
- Berwick, PA
National Provider Identifier
1982923983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN000129
- Practice address
- 701 E 16TH St
Berwick, PA 18603-2316 - Phone
- (570) 759-5091
- NPI assigned
- May 31, 2010
- 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 | DN000129 | PA | Primary |
Addresses
Primary practice location
701 E 16TH St
Berwick, PA 18603-2316
Mailing address
701 E 16TH St
Berwick, PA 18603-2316
Phone (570) 759-5091
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilkes Barre Hospital Company LLC | Past | Accepting new patients | |
| Wilkes-Barre Hospital Company LLC | 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.
-
- Clinic/Center
- Wilkes Barre, PA
- NPI 1053554378
-
- Registered Dietitian
- Wilkes Barre, PA
- NPI 1699082495
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275264000000",
"number": "1982923983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E 16TH ST",
"city": "BERWICK",
"state": "PA",
"postal_code": "186032316",
"telephone_number": "570-759-5091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E 16TH ST",
"city": "BERWICK",
"state": "PA",
"postal_code": "186032316",
"telephone_number": "570-759-5091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "R.D., L.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-31",
"last_updated": "2010-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN000129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.