NOELLE DOMINIQUE ALTAVILLA RD, LDN
NPI 1275827008
Dietitian, Registered in Hazleton, PA

Q: What is Noelle Altavilla's NPI number?

The NPI number for Noelle Altavilla is 1275827008. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Q: What is Noelle Altavilla's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Noelle Altavilla was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2011

90.34/100

CMS Quality Rating

141 N VINE ST, HAZLETON, PA 18201(570) 501-6322 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2023, Jul 26, 2021 (2 updates tracked since 2021).

On this page

About Noelle Dominique Altavilla Rd, Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOELLE DOMINIQUE ALTAVILLA RD, LDN (NPI 1275827008) is an individual dietitian, registered in Hazleton, Pennsylvania, licensed in Pennsylvania (DN003742) and active in the NPI registry since June 2011. She maintains a secondary practice location in Kingston.

NPPES Registry Identity

NPI1275827008

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameNOELLE DOMINIQUE ALTAVILLACredential: RD, LDN

Location Address141 N VINE STHazleton, PA 18201-5852

Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 884-4500

Phone(570) 501-6322

Sole ProprietorNo

Enumeration DateJune 9, 2011

Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1275827008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in PA · DN003742

Definition

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.

Also ListedNutritionistTaxonomy 133N00000X

141 N VINE ST, Hazleton, PA 18201

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Secondary Practice Location 1

Location 12 Poplar StKingston, PA 18704-3709 · Phone (570) 714-4090

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.69

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA MONTO RD

Dietitian, Registered