Organization Active NPI

Nutrition With Noelle P.C.

  • Clinic/Center
  • Buffalo, NY
National Provider Identifier
1053811638
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
009292 Issued in NY
Legal business name
NUTRITION WITH NOELLE P.C.
Practice address
2075 Sheridan Dr
Buffalo, NY 14223-1425
Phone
(716) 417-6388
NPI assigned
Feb 20, 2018
Last updated
Feb 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Ms. Noelle Marie Desantis, RDN, CDN
Title
Registered Dietitian
Phone
(716) 417-6388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 009292 NY Primary

Addresses

Primary practice location

2075 Sheridan Dr
Buffalo, NY 14223-1425

Mailing address

573 Auburn Ave Apt 2
Buffalo, NY 14222-1350
Phone (716) 417-6388

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1053811638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 AUBURN AVE APT 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221350",
            "telephone_number": "716-417-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SHERIDAN DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231425",
            "telephone_number": "716-417-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION WITH NOELLE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "716-417-6388",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN, CDN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "009292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.