Active NPIIndividual provider

Elizabeth A Derry, RD, CD, CDE

Dietitian, Registered in Windsor, Vermont

NPI Number1821084302
Practice location
289 County RD, Windsor, VT 05089-9000
Fax
802-674-7314
Last updated
December 19, 2008

Elizabeth A Derry is a Dietitian, Registered based in Windsor, VT. Elizabeth A Derry practices in Windsor, VT and has the professional credentials of RD, CD, CDE. The NPI Number for Elizabeth A Derry is 1821084302 and holds a License No. 074-0000187 (VT). The current practice location address for Elizabeth A Derry is 289 County RD, Windsor, VT 05089-9000 and can be reached out via phone at 802-674-7300 and via fax at 802-674-7314.

Provider Profile Details

NPI Number
1821084302
Provider Name
Elizabeth A Derry
Credential
RD, CD, CDE
Provider Entity Type
Individual
Gender
Female
Address
289 County RD, Windsor, VT 05089-9000
Phone Number
802-674-7300
Fax Number
802-674-7314
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
September 21, 2005
Last Update Date
December 19, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
289 County RD
Windsor, VT 05089-9000
State
Vermont
Zip
05089-9000
Phone Number
802-674-7300
Fax Number
802-674-7314
Windsor, VT 05089Get directions →

Provider Business Mailing Address Details

Address
289 County RD
Windsor, VT 05089-9000
City
Windsor
State
VT
Zip
05089-9000
Phone Number
802-674-7300
Fax Number
802-674-7314

License Information

License Number
074-0000187
License State
VT
Taxonomy
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 Elizabeth A Derry, RD, CD, CDE?

The NPI number of Elizabeth A Derry, RD, CD, CDE is 1821084302. It was assigned on September 21, 2005 and is currently active in the NPPES registry.

What is the specialty of Elizabeth A Derry, RD, CD, CDE?

Elizabeth A Derry, RD, CD, CDE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in VT under license number 074-0000187.

Where does Elizabeth A Derry, RD, CD, CDE practice?

The practice location is 289 County RD, Windsor, VT 05089-9000. The office can be reached at 802-674-7300 (phone) or 802-674-7314 (fax).

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 1821084302 directly on the NPPES registry website.

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