Active NPI
Ann M Watts, RD, CDN, CDE
- Nutrition Education Nutritionist
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 005718
- Practice address
- 75 Beekman St
Plattsburgh, NY 12901-1438 - Phone
- (518) 561-2000
- Fax
- (518) 561-0881
- NPI assigned
- Nov 28, 2006
- Last updated
- May 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 005718 | NY | Primary |
| Registered Dietitian | 133V00000X | 005718 | NY |
Addresses
Primary practice location
75 Beekman St
Plattsburgh, NY 12901-1438
Mailing address
PO Box 2868
Plattsburgh, NY 12901-0259
Phone (518) 562-7900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141338471 | Other | NY | EXCELLUS |
| 114406 | Other | NY | VALUE OPTIONS |
| 141338471 | Other | NY | HEALTH NET |
| 141338471 | Other | NY | FIDELIS |
| 141338471 | Other | NY | MARTINS POINT |
Other names 1
- Ann M Kinney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Cornelia St
Suite 401
Plattsburgh, NY 12901-2318
Phone (518) 314-3460
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005718 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champlain Valley Physicians Hospital Medical Center | Dietitian, Registered | Current | Accepting new patients |
| Champlain Valley Physicians Hospital Medical Center | Past | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Past | Accepting new patients |
Locations
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
Dietitian, Registered
-
- Skilled Nursing Facility
- Plattsburgh, NY
- NPI 1215098876
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Plattsburgh, NY
- NPI 1487785382
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1003982562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2868",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129010259",
"telephone_number": "518-562-7900",
"fax_number": "518-562-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BEEKMAN ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129011438",
"telephone_number": "518-561-2000",
"fax_number": "518-561-0881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "ANN",
"middle_name": "M",
"credential": "RD, CDN, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "005718",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005718",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "141338471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "114406",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "141338471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "141338471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARTINS POINT",
"identifier": "141338471",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "KINNEY",
"middle_name": "M",
"credential": "RD, CDN, CDE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.