NPIMap

Organization Active NPI

Inclusive Nutrition Counseling, PLLC

  • Registered Dietitian
  • Amherst, NY
National Provider Identifier
1164188041
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
INCLUSIVE NUTRITION COUNSELING, PLLC
Practice address
252 Burroughs Dr
Amherst, NY 14226-3907
Phone
(716) 939-1116
NPI assigned
Nov 15, 2021
Last updated
Nov 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Catherine Frances Brown, RDNNPI 1366945933
Title
Owner
Phone
(716) 939-1116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

252 Burroughs Dr
Amherst, NY 14226-3907

Mailing address

252 Burroughs Dr
Amherst, NY 14226-3907
Phone (716) 939-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211122001790 NY Part B Supplier - Clinic/Group Practice 8820487333 Receives reassigned benefits from 1 practitioner
Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1164188041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 BURROUGHS DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263907",
            "telephone_number": "716-939-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 BURROUGHS DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263907",
            "telephone_number": "716-939-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSIVE NUTRITION COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-939-1116",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.