Mary Ann Vincenti, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN000304 Issued in PA

Practice address

1100 Grampian Blvd
Williamsport, PA 17701-1909

Phone

(570) 326-8410

NPI assigned

Dec 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992865687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR#1",
            "address_2": "BOX 1254A",
            "city": "FORKSVILLE",
            "state": "PA",
            "postal_code": "186169722",
            "telephone_number": "570-924-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011909",
            "telephone_number": "570-326-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENTI",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LDN LICENSE",
            "identifier": "DN000304",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cyril Townsend Velkoff, M.S.
• Viorica Valentin Velott, CRNP
• Jeffrey Verzella
• Melanie Lozano Villegas, PT
• Vincent I. Disalvo, Inc.
• Kristin Vincenzes, PH.D., LPC, NCC, ACS
• Viriditas LLC
• Merete Vogelsong
• Parker Steven Voitek, PA-C
• Arno Vosk, M.D.

• Registered Dietitian in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.