Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
COMMUNITY DIABETES AND NUTRITION SERVICES, LLC
Active
Organization
COMMUNITY DIABETES AND NUTRITION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY TAKACS RN, BS, CDE (MEMBER AND PROGRAM COORDINATOR)
(570) 604-6677
Entity
Organization
Contact information
Practice address
200 MAIN ST, SUITE L4, BLAKELY, PA 18447-1241
(570) 604-6677
(570) 307-4220
Mailing address
200 MAIN ST, SUITE L4, BLAKELY, PA 18447-1241
(570) 604-6677
(570) 307-4220
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000285
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306930847
BLUE CROSS OF NORTHEAST PA
PA
Enumeration date
05/01/2015
Last updated
05/01/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up