Noelle Dominique Altavilla, RD, LDN
NPI 1275827008ActiveIndividual· Dietitian, Registered· Hazleton, PA
Dietitian, Registered (RD, LDN) in Hazleton, Pennsylvania, licensed in PA, with an NPI issued in June 2011. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1275827008 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, LDN |
| Sole proprietor | No |
| NPI issued | Jun 9, 2011 |
| Last updated in NPPES | Aug 21, 2023 |
| Certified by provider | Aug 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DN003742 | PA |
| Nutritionist | 133N00000X | — | — |
| Dietitian, Registered | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (PA) |
|---|
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