Individual provider Active NPI

Christine Anne Passen, MPH, RDN, CDN

  • Registered Dietitian
  • Saratoga Springs, NY
National Provider Identifier
1063941946
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
008848 Issued in NY
Practice address
268 Broadway Ste 202
Saratoga Springs, NY 12866-4271
Phone
(518) 584-1777
Fax
(518) 584-1666
NPI assigned
Jun 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 008848 NY Primary

Addresses

Primary practice location

268 Broadway Ste 202
Saratoga Springs, NY 12866-4271

Mailing address

268 Broadway Ste 202
Saratoga Springs, NY 12866-4271
Phone (518) 584-1777

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

State licenses

LicenseStateTypeSpecialty
008848NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063941946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 BROADWAY STE 202",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664271",
            "telephone_number": "518-584-1777",
            "fax_number": "518-584-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 BROADWAY STE 202",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664271",
            "telephone_number": "518-584-1777",
            "fax_number": "518-584-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSEN",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "credential": "MPH, RDN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.