Active NPIIndividual provider

Nyssa Entrekin, RD, LDN

Dietitian, Registered in Philadelphia, Pennsylvania

NPI Number1356885511
Practice location
160 E Erie Ave, Philadelphia, PA 19134-1011
Fax
—
Last updated
October 11, 2018

Nyssa Entrekin is a Dietitian, Registered based in Philadelphia, PA. Nyssa Entrekin practices in Philadelphia, PA and has the professional credentials of RD, LDN. The NPI Number for Nyssa Entrekin is 1356885511 and holds a License No. DN005854 (PA). The current practice location address for Nyssa Entrekin is 160 E Erie Ave, Philadelphia, PA 19134-1011 and can be reached out via phone at 215-427-4889.

Provider Profile Details

NPI Number
1356885511
Provider Name
Nyssa Entrekin
Credential
RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
160 E Erie Ave, Philadelphia, PA 19134-1011
Phone Number
215-427-4889
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
December 7, 2016
Last Update Date
October 11, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 E Erie Ave
Philadelphia, PA 19134-1011
Zip
19134-1011
Phone Number
215-427-4889
Philadelphia, PA 19134Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr
Ste 120
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
856-355-0335

License Information

License Number (1)
DN005854
License State (1)
PA
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
1069656
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nyssa Entrekin, RD, LDN?

The NPI number of Nyssa Entrekin, RD, LDN is 1356885511. It was assigned on December 7, 2016 and is currently active in the NPPES registry.

What is the specialty of Nyssa Entrekin, RD, LDN?

Nyssa Entrekin, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PA under license number DN005854.

Where does Nyssa Entrekin, RD, LDN practice?

The practice location is 160 E Erie Ave, Philadelphia, PA 19134-1011. The office can be reached at 215-427-4889 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356885511 directly on the NPPES registry website.

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