Active NPI
Danielle Debye
- Registered Dietitian
- Kinderhook, NY
National Provider Identifier
1194184812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008645
- Practice address
- 305 Merwin Lake Rd
Kinderhook, NY 12106-4010 - Phone
- (518) 218-6044
- NPI assigned
- Feb 23, 2016
- Last updated
- May 31, 2022
- 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 | 000003860 | MA | |
| Registered Dietitian | 133V00000X | 008645 | NY | Primary |
Addresses
Primary practice location
305 Merwin Lake Rd
Kinderhook, NY 12106-4010
Mailing address
305 Merwin Lake Rd
Kinderhook, NY 12106-4010
Phone (518) 218-6044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160719000140 | MA | Practitioner - Registered Dietitian Or Nutrition Professional | 2264725993 | |
| I20171026002570 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 2264725993 | Practice locations: Hudson, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000003860 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1194184812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 MERWIN LAKE RD",
"city": "KINDERHOOK",
"state": "NY",
"postal_code": "121064010",
"telephone_number": "518-218-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MERWIN LAKE RD",
"city": "KINDERHOOK",
"state": "NY",
"postal_code": "121064010",
"telephone_number": "518-218-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBYE",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2022-05-31",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "000003860",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kinderhook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.