Watertown Urban Mission

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

WATERTOWN URBAN MISSION

Practice address

247 Factory St
Watertown, NY 13601-2748

Phone

(315) 782-8440

NPI assigned

Jun 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Joanna J. Loomis

Title

Executive Director

Phone

(315) 782-8440

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1003266453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 FACTORY ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012748",
            "telephone_number": "315-782-8440",
            "fax_number": "315-782-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 FACTORY ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012748",
            "telephone_number": "315-782-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN URBAN MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-782-8440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watertown Internists PC
• Watertown Medical Optical PLLC (Noaman Sanni dba Watertown Medical Optical PLLC)
• Watertown Pediatric Dentistry PLLC
• Watertown Pediatrics,PC
• Watertown Surgical Group
• Watertown Urgent Care PLLC
• Alta Louise Watkins, PA
• Patricia Marcelle Watts, SLP
• Jeffrey D Way, MD
• Lawrence E. Way, DDS

• Registered Dietitian in Watertown, NY
• Providers in Watertown, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.