Beverly Fountain
Beverly Fountain is a Registered Dietitian OR Nutrition Professional in Georgetown, Delaware. Qualified in 2016, 10 years ago. Practices with Tidalhealth Physician Network, Inc, a 114-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Delaware.
- Years since qualifying
- 10
- Licensed in
- DE
- In the registry since
- 2022
Practice location Address checks out
20930 Dupont Blvd Unit 202Georgetown, DE 19947-1724
Phone: (302) 856-3737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obesity and Weight Management Nutrition Registered Dietitian (primary) | Taxonomy 133VN1201X · Licence DN-0010985 (DE) |
|---|
Record details
| NPI number | 1225750813 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 12, 2022 |
| Last updated in NPPES | September 12, 2022 |
| Certification date | September 12, 2022 |
| Mailing address | 20930 Dupont Blvd Unit 101, Georgetown, DE 19947-1723 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Tidalhealth Physician Network, Inc. — 114 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |