Distinguished Dietitian Nutritionist PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005592 Issued in NY

Legal business name

DISTINGUISHED DIETITIAN NUTRITIONIST PLLC

Doing business as

Feed the Soul Nutrition

Practice address

312 Sherman Street
Watertown, NY 13601

Phone

(315) 955-9998

Fax

(315) 782-0386

NPI assigned

Jun 2, 2009

Last updated

Jun 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole S Berry-Garnsey, RD, CDE

Title

President/Ceo

Phone

(315) 955-9998

Specialties & licenses 1

Addresses

Other names 1

• Feed the Soul Nutrition Doing business as

Locations

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1073749297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SHERMAN STREET",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-955-9998",
            "fax_number": "315-782-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SHERMAN STREET",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-955-9998",
            "fax_number": "315-782-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINGUISHED DIETITIAN NUTRITIONIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "BERRY-GARNSEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "315-955-9998",
        "authorized_official_credential": "RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feed the Soul Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Elena Dille, DDS
• Kimberly Michelle Dinan, OTR/L
• Bruce James Dines, DMD
• William H Dingman, DC
• Disabled Persons Action Organization
• Dakota R Doane, BSW
• Katelyn Marie Dobbins
• Ashley Margaret Dobmeier- Burke, MS OTR/L
• Monika Baerbel Docteur, PT
• Walter Dodard, DO

• Registered Dietitian in Watertown, NY
• Providers in Watertown, 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 Jun 7, 2016; 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.