Innocentia Gidi, C.D.N

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

005120 Issued in NY

Practice address

1650 Grand Concourse
Bronx, NY 10457

Phone

(718) 518-5290

NPI assigned

Oct 22, 2010

Last updated

Oct 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1235439357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 METROPOLITAN AVE",
            "address_2": "3C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10462",
            "telephone_number": "347-263-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-518-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDI",
        "first_name": "INNOCENTIA",
        "name_prefix": "Miss",
        "credential": "C.D.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "005120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Gibson, REGISTERED NURSE
• Michael William Gibson, MA, LMHC
• Sasshine Imani Gibson, B.A. ED
• Chantal San Miguel Gicquel, M.D.
• Lori Ann Gics-Scerbo, OD
• Ariel Gidon, MD
• Jennifer Lynn Giermek, O.D.
• Stephanie Edna Giessner, MD
• Rachel Gifeisman, MD
• Chelsea Chase Gifford

• Nutrition Education Nutritionist in Bronx, NY
• Providers in Bronx, NY by specialty
• Nutrition Education Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.