Dawn Patricia Berry, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

006277 Issued in NY

Practice address

215 Washington St
Suite 108
Watertown, NY 13601-3329

Phone

(315) 783-6810

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dawn Patricia Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  dba Thomas Depner MD Center for Home Dialysis Training

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  • Sacramento, CA
  • NPI 1871128173
  NPD (past)

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1073767075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WASHINGTON ST",
            "address_2": "SUITE 108",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013329",
            "telephone_number": "315-783-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WASHINGTON ST",
            "address_2": "SUITE 108",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013329",
            "telephone_number": "315-783-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "DAWN",
        "middle_name": "PATRICIA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006277",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NY",
            "license": "06277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS CERTIFICATION (CERTIFIED DIETITIAN/ NUTRITIONIST)",
            "identifier": "006377",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN REGISTRATION NUMBER",
            "identifier": "896001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "WILLIAMS",
            "middle_name": "PATRICIA",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth Benson, PA
• Lorraine H Benzing, LCSW
• Marisa Bernarding, RN
• Jill J Bero, CCC-SLP
• Britnee S Berrett, LCSW
• Shannon Berry
• Melissa Youssef Beshay, MD
• Andrew Adam Beuttenmuller, DDS
• Bhupinder Singh Bolla MD PLLC (Pain Solutions of Northern New York)
• Bhupinder Singh Bolla MD PLLC (Pain Solutions of Northern New York)

• 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 May 13, 2013; 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.