Larissa Depasqua, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND12218 Issued in FL

Practice address

769 Broadway # 1019
New York, NY 10003-6803

Phone

(386) 315-4222

NPI assigned

Mar 20, 2024

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: larissa.depasqua@335000925634564.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allara Medical Group PA

  • Gynecology Physician
  • New York, NY
  • NPI 1700450558
  NPD (past)

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1992565642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 MOSAIC BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321243777",
            "telephone_number": "386-315-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 BROADWAY # 1019",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036803",
            "telephone_number": "386-315-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPASQUA",
        "first_name": "LARISSA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND12218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Education
• Department of Education
• Department of Health
• Department of Neurology Professional Services Group/Slrhc
• Department of Psychiatry at Mount Sinai School of Medicine
• Eugene E Depasquale, M.D.
• Jason Depasquale, PA
• Lisa Depasquale
• Schevonne Depass, LPN
• Brianna Rose Depaulo, CF-SLP

• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.