Individual provider Active NPI

Cheryl I Carpio-Kaylie, RDN, CDN

  • Registered Dietitian
  • Dix Hills, NY
National Provider Identifier
1033224456
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0052491 Issued in NY
Practice address
20 McCulloch Dr
Dix Hills, NY 11746-8304
Phone
(917) 742-0728
NPI assigned
Aug 19, 2006
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 0052491 NY Primary

Addresses

Primary practice location

20 McCulloch Dr
Dix Hills, NY 11746-8304

Mailing address

20 McCulloch Dr
Dix Hills, NY 11746-8304
Phone (917) 742-0728

Other names 1

  • Cheryl I Kaylie Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0052491NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Joel Bruce Fieldman MD P.C. PastSince Jan 1, 2012 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CECJBA/Endpoint/CECJBA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1033224456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MCCULLOCH DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117468304",
            "telephone_number": "917-742-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MCCULLOCH DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117468304",
            "telephone_number": "917-742-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPIO-KAYLIE",
        "first_name": "CHERYL",
        "middle_name": "I",
        "credential": "RDN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "0052491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "KAYLIE",
            "middle_name": "I",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.