Individual provider Active NPI

Dina Nicole Worley, RD, CDN, CLC

  • Pediatric Nutrition Registered Dietitian
  • North Tonawanda, NY
National Provider Identifier
1194085191
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
License
007315 Issued in NY
Practice address
938 Remington Dr
North Tonawanda, NY 14120-2947
Phone
(716) 558-7555
Fax
(716) 558-7573
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian 133VN1004X 007315 NY Primary

Addresses

Primary practice location

938 Remington Dr
North Tonawanda, NY 14120-2947

Mailing address

3675 Southwestern Blvd
Orchard Park, NY 14127-1732
Phone (716) 558-7555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150410000863 NY Practitioner - Registered Dietitian Or Nutrition Professional 3476871054 Reassigns benefits to 2 organizations
Practice locations: Buffalo, NY; Orchard Park, NY; Niagara Falls, NY

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sisters of Charity Hospital of Buffalo New YorkGroup PAC ID 6204749153, 160 clinicians
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

1616 Kensington Ave
Buffalo, NY 14215-1433
Phone (716) 510-3447

1783 Colvin Blvd
Buffalo, NY 14223-1107
Phone (716) 874-2150

301 Connecticut St
Buffalo, NY 14213-2541
Phone (716) 862-2572

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

7300 Porter Rd
Niagara Falls, NY 14304-5716
Phone (716) 298-5886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC Nutrition, Pediatric CurrentSince Feb 9, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jul 14, 2024 Accepting new patients
Trinity Medical Wny PC CurrentSince Feb 9, 2020 Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jul 14, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Northtowns Medical Group, P.C. PastSince Aug 11, 1994 Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

301 Connecticut St
Buffalo, NY 14213
Phone (716) 862-2572

1616 Kensington Ave
Buffalo, NY 14215
Phone (716) 834-3278

5290 Military Rd
Ste 10
Lewiston, NY 14092
Phone (716) 282-3084

10175 Niagara Falls Blvd
#1
Niagara Falls, NY 14304
Phone (716) 205-0170

3675 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 972-0279

600 Harlem Rd
West Seneca, NY 14224
Phone (716) 332-2121

1026 Union Rd
West Seneca, NY 14224
Phone (716) 712-0851

Interoperability endpoints

  • Direct secure messaging: dworley@apwny.medentdirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1194085191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271732",
            "telephone_number": "716-558-7555",
            "fax_number": "716-558-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 REMINGTON DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202947",
            "telephone_number": "716-558-7555",
            "fax_number": "716-558-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "DINA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "RD, CDN, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NY",
            "license": "007315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.