Individual provider Active NPI

Hayley Mielnicki, RDN

  • Registered Dietitian
  • Syracuse, NY
National Provider Identifier
1225780612
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86117257 Issued in NY
Practice address
99 Yorkshire Blvd
Syracuse, NY 13219-1739
Phone
(315) 460-0802
Fax
(877) 819-2425
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 86117257 NY Primary

Addresses

Primary practice location

99 Yorkshire Blvd
Syracuse, NY 13219-1739

Mailing address

9516 Sunrise Dr
Sauquoit, NY 13456-3117
Phone (315) 225-3100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hayley@sarahlynnnutrition.com Direct

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

LicenseStateTypeSpecialty
86117257NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1225780612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9516 SUNRISE DR",
            "city": "SAUQUOIT",
            "state": "NY",
            "postal_code": "134563117",
            "telephone_number": "315-225-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 YORKSHIRE BLVD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191739",
            "telephone_number": "315-460-0802",
            "fax_number": "877-819-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELNICKI",
        "first_name": "HAYLEY",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86117257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hayley@sarahlynnnutrition.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "99 Yorkshire Blvd",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132191739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.