Active NPI
Ivy Sue Messer, M.S., RD
- Registered Dietitian
- Little Neck, NY
National Provider Identifier
1073883427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000828
- Practice address
- 25221 60TH Ave
Little Neck, NY 11362-2423 - Phone
- (516) 695-9318
- NPI assigned
- Jan 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 000828 | NY | Primary |
Addresses
Primary practice location
25221 60TH Ave
Little Neck, NY 11362-2423
Mailing address
25221 60TH Ave
Little Neck, NY 11362-2423
Phone (516) 695-9318
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000828 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1073883427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25221 60TH AVE",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622423",
"telephone_number": "516-695-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25221 60TH AVE",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622423",
"telephone_number": "516-695-9318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSER",
"first_name": "IVY",
"middle_name": "SUE",
"credential": "M.S., RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "000828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.