Vicki Rebecca Bogard, MS RD CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005423-1 Issued in NY

Practice address

4115 45TH St
Apt. 5H
Sunnyside, NY 11104-1949

Phone

(718) 482-0406

Fax

(718) 482-0406

NPI assigned

Jan 7, 2014

Last updated

Jan 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1013339274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 45TH ST",
            "address_2": "APT. 5H",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041949",
            "telephone_number": "718-482-0406",
            "fax_number": "718-482-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 45TH ST",
            "address_2": "APT. 5H",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041949",
            "telephone_number": "718-482-0406",
            "fax_number": "718-482-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGARD",
        "first_name": "VICKI",
        "middle_name": "REBECCA",
        "credential": "MS RD CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005423-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Sunnyside, NY
• Providers in Sunnyside, 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 Jan 7, 2014; 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.