Individual provider Active NPI

Kelly Ogden, M.S., R.D., C.D.N

  • Registered Dietitian
  • Albany, NY
National Provider Identifier
1184174625
Registry record updated Oct 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
008642 Issued in NY
Practice address
260 Washington Avenue Ext
101
Albany, NY 12203-6326
Phone
(518) 218-1188
NPI assigned
Oct 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 008642 NY Primary

Addresses

Primary practice location

260 Washington Avenue Ext
101
Albany, NY 12203-6326

Mailing address

11 E Glenwood Dr
Latham, NY 12110-3321
Phone (518) 421-9852

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
008642NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475884800000",
    "number": "1184174625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E GLENWOOD DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103321",
            "telephone_number": "518-421-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WASHINGTON AVENUE EXT",
            "address_2": "101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122036326",
            "telephone_number": "518-218-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "KELLY",
        "credential": "M.S., R.D., C.D.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-08",
        "last_updated": "2016-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.