Active NPI
Cassidel Y. Plummer, R.D., CD/N
- Registered Dietitian
- Far Rockaway, NY
National Provider Identifier
1164748380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001770
- Practice address
- 1141 McBride St
Unit 5C
Far Rockaway, NY 11691-2437 - Phone
- (718) 868-8809
- Fax
- (212) 442-1206
- NPI assigned
- Apr 13, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 001770 | NY | Primary |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 001770 | NY |
Addresses
Primary practice location
1141 McBride St
Unit 5C
Far Rockaway, NY 11691-2437
Mailing address
1141 McBride St
Unit 5C
Far Rockaway, NY 11691-2437
Phone (718) 868-8809
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 |
|---|---|---|---|
| 001770 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1164748380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 MCBRIDE ST",
"address_2": "UNIT 5C",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116912437",
"telephone_number": "718-868-8809",
"fax_number": "212-442-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 MCBRIDE ST",
"address_2": "UNIT 5C",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116912437",
"telephone_number": "718-868-8809",
"fax_number": "212-442-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "CASSIDEL",
"middle_name": "Y.",
"name_prefix": "Miss",
"credential": "R.D., CD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-13",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "001770",
"primary": true
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NY",
"license": "001770",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.