Active NPI
Teresa Y Intorcia, MNT
- Metabolic Nutrition Registered Dietitian
- Carthage, NY
National Provider Identifier
1023200508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 002834
- Practice address
- 1001 West St
Carthage, NY 13619-9703 - Phone
- (315) 493-1005
- Fax
- (315) 493-0038
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 002834 | NY | Primary |
Addresses
Primary practice location
1001 West St
Carthage, NY 13619-9703
Mailing address
830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-5293
Other names 1
- Teresa Y Intorcia
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, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1575 Washington St
Watertown, NY 13601-9371
Phone (315) 779-5060
Hospital & facility affiliations
- Samaritan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- teresa.intorcia@sfhcny.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1023200508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014034",
"telephone_number": "315-785-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WEST ST",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136199703",
"telephone_number": "315-493-1005",
"fax_number": "315-493-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INTORCIA",
"first_name": "TERESA",
"middle_name": "Y",
"credential": "MNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NY",
"license": "002834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "INTORCIA",
"middle_name": "Y",
"credential": "RD,MNT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Carthage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.