Amber D Gray, MS, RDN, CDN, CLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1047048 Issued in NY

Practice address

1830 State Route 43
Averill Park, NY 12018-3923

Phone

(518) 698-0669

NPI assigned

Oct 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1245994565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 STATE ROUTE 43",
            "city": "AVERILL PARK",
            "state": "NY",
            "postal_code": "120183923",
            "telephone_number": "518-290-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 STATE ROUTE 43",
            "city": "AVERILL PARK",
            "state": "NY",
            "postal_code": "120183923",
            "telephone_number": "518-698-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AMBER",
        "middle_name": "D",
        "credential": "MS, RDN,  CDN, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN7928",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "1047048",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Raymond Gamache, DDS
• Brenda Loraine Gausby, LMHC
• Geoffrey R. Gamache DDS PLLC
• Benita George
• Evelynn Ginsburg, RPH
• Kerry Gully, MS, CCC/SLP
• Michele Haggerty
• Heirloom Lactation, LLC
• Deborah Ann Hildreth, RPA-C
• Robert Halford Hill II, DDS

• Registered Dietitian in Averill Park, NY
• Providers in Averill Park, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.