Active NPI
Garrett James Athenas, MS, CNS
- Nutritionist
- Huntington Station, NY
National Provider Identifier
1063922680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 68 E 22ND St
Huntington Station, NY 11746-3240 - Phone
- (631) 629-9501
- Fax
- (631) 629-9501
- NPI assigned
- Oct 10, 2017
- Last updated
- Oct 10, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary | ||
| Nutritionist | 133N00000X | NY |
Addresses
Primary practice location
68 E 22ND St
Huntington Station, NY 11746-3240
Mailing address
68 E 22ND St
Huntington Station, NY 11746-3240
Phone (631) 629-9501
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)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1063922680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 E 22ND ST",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117463240",
"telephone_number": "631-629-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 E 22ND ST",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117463240",
"telephone_number": "631-629-9501",
"fax_number": "631-629-9501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHENAS",
"first_name": "GARRETT",
"middle_name": "JAMES",
"credential": "MS, CNS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-10",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.