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DANA MARIA HERAZO RDLDCDE NPI 1962530840


NPI Information

NPI: 1962530840
Provider Name: DANA MARIA HERAZO, RD,LD,CDE
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
251 N BAYOU ST
MOBILE, AL
ZIP 36603
Phone: (251) 690-8847
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Dana Maria Herazo, RD,LD,CDE is a dietitian registered in Mobile, AL. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Dana Maria Herazo, RD,LD,CDE NPI is 1962530840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

251 N BAYOU ST
MOBILE, AL
ZIP 36603-827
Phone: (251) 690-8847
Fax: (251) 544-2188

The enumeration date for this NPI number is 3/1/2007 and was last updated on 5/5/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredLD 131OHIONo
2133V00000XDietitian, Registered667852ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11063439065OTHERALABAMANPI GROUP PAYEE NUMBER
2630000013MEDICAIDALABAMA
3011846OTHERALABAMAMEDICARE GROUP PAYEE NUMBER
4SUMT70241MEDICARE ID-TYPE UNSPECIFIEDOHIOMEDICAL NUTRITION THERAPY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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