Mollie McLeod Tracy, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1046166 Issued in NY

Practice address

2057 Dream Catcher PLZ
Oneida, NY 13421-2729

Phone

(315) 829-8700

NPI assigned

Apr 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Mollie Catherine McLeod Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1104489673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 DREAM CATCHER PLZ",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212729",
            "telephone_number": "315-829-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 DREAM CATCHER PLZ",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212729",
            "telephone_number": "315-829-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "MOLLIE",
        "middle_name": "MCLEOD",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "1046166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01705682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLIE",
            "last_name": "MCLEOD",
            "middle_name": "CATHERINE",
            "prefix": "MS.",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassidy Jean Thornton, LPN, CLC
• Lynn Timian
• Kristin Deanne Tooker, FNP
• Rezkallah Toro, MD
• Michelle Totski, LPN
• Carrie Anne Trevisani, FNP
• Nikki Trexler, LMSW-LP
• Elizabeth Leask Truman, L.P.N.
• Kristin M Tyoe, LPN
• University Hospital Physicians

• Registered Dietitian in Oneida, NY
• Providers in Oneida, 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 Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.