Colleen B Eder

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00722900 Issued in NY

Practice address

4540 Southwestern Blvd
Hamburg, NY 14075-1930

Phone

(716) 646-0096

NPI assigned

Mar 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1073016473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 LEXINGTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221809",
            "telephone_number": "716-574-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SOUTHWESTERN BLVD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751930",
            "telephone_number": "716-646-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDER",
        "first_name": "COLLEEN",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "00722900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Joseph Dybala, BSPHARM
• Andria M Dylik, COTA
• Marissa Eberle, LMSW
• Eckerd Corporation
• Michael Joseph Edbauer, D.O.
• Ann Elizabeth Edmunds
• Cheryl Ehlers, R.N.
• Catherine L. Ehlert, BSW
• Marianne L Eich, RN
• Sandra Ann Eichner, MS-CCC-SLP

• Registered Dietitian in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.