Active NPI
Montana Vescovi, RDN
- Registered Dietitian
- Le Roy, NY
National Provider Identifier
1144842337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86116255
- Practice address
- 19 Platt Ave
Le Roy, NY 14482-1524 - Phone
- (585) 490-2501
- NPI assigned
- May 11, 2020
- Last updated
- May 11, 2020
- 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 | 86116255 | NY | Primary |
Addresses
Primary practice location
19 Platt Ave
Le Roy, NY 14482-1524
Mailing address
19 Platt Ave
Le Roy, NY 14482-1524
Phone (585) 490-2501
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 |
|---|---|---|---|
| 86116255 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1144842337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 PLATT AVE",
"city": "LE ROY",
"state": "NY",
"postal_code": "144821524",
"telephone_number": "585-490-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 PLATT AVE",
"city": "LE ROY",
"state": "NY",
"postal_code": "144821524",
"telephone_number": "585-490-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESCOVI",
"first_name": "MONTANA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86116255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Le Roy, NY
- Surgical Centers of Western New York
- Matthew Thomashefski, MD
- Tops Markets LLC (Tops Pharmacy)
- Lori A Trader, LPN
- Joan Carol Tucci, L.M.T.
- Village Mental Health Counseling PLLC (Village Counseling)
- George Robert Vito, D.P.M.
- Carol Vlainic, RN
- Walgreen Co (Walgreens #11904)
- Lindsey C. Waliszewski, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.