Janelle Edwards, RD, CDN, MS
Individual provider Active NPI Registered Dietitian · Tupper Lake, NY
NPI 1003570490 · NPPES record last updated Oct 22, 2021
Key facts
- NPI
- 1003570490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86085288 (NY)
- Practice address
- 3 Woodrow Ave
Tupper Lake, NY 12986-1008 - Phone
- (518) 524-7610
- NPI assigned
- Oct 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86085288 | NY | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86085288 | NY | Yes |
Addresses
Primary practice location
3 Woodrow Ave
Tupper Lake, NY 12986-1008
Mailing address
3 Woodrow Ave
Tupper Lake, NY 12986-1008
Phone (518) 524-7610
Other providers in Tupper Lake, NY
- Vincent Connors
- Eileen Dattola
- Margaret D Dechene
- Haley Mae Del Duca
- Carol Dimond
- Mary Lynne Feller
- Franklin Hamilton Chapter Nysarc
- Melinda Sue Frazer
- Aimee Fredette
- Barbara F Gachowski
All providers in Tupper Lake, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.