Active NPI
Amy M Bailey, RD
- Registered Dietitian
- Syracuse, NY
National Provider Identifier
1073641502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002974-1
- Practice address
- 800 S Wilbur Ave
Syracuse, NY 13204-2732 - Phone
- (315) 478-0463
- Fax
- (315) 476-9757
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 002974-1 | NY | Primary |
Addresses
Primary practice location
800 S Wilbur Ave
Syracuse, NY 13204-2732
Mailing address
1520 Comstock Ave
Syracuse, NY 13210-3724
Phone (315) 475-0034
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002974-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Staten Island, NY
- NPI 1750469912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073641502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 COMSTOCK AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132103724",
"telephone_number": "315-475-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S WILBUR AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042732",
"telephone_number": "315-478-0463",
"fax_number": "315-476-9757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "AMY",
"middle_name": "M",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "002974-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.