Skyler Gray Sabetpour, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DX6167 Issued in MD

Practice address

5100 W Genesee St
Camillus, NY 13031-2354

Phone

(315) 401-0590

NPI assigned

Mar 12, 2025

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

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sarah Lynn Nutrition

  • Registered Dietitian
  • Camillus, NY
  • NPI 1730851346

  Dietitian, Registered

  Medicare reassignment NPD
• Lindatroia,LCSW, P.C.

  • Clinical Social Worker
  • Camillus, NY
  • NPI 1780740688
  NPD (past)

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1255130191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 HUDSON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245137",
            "telephone_number": "469-386-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312354",
            "telephone_number": "315-401-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABETPOUR",
        "first_name": "SKYLER",
        "middle_name": "GRAY",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX6167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Meday Rozwod, SLP
• Jennifer A Rufa, MD
• Amy Lynn Russell, PA
• S Ren Optometry PLLC
• Daniel S Saarie, MD
• Alicia Anne Salamino
• Abdulla A Saleh, RPH
• Matthew P Salvatore, DMD
• Samuel B Rameas DPM PC (FootCare)
• Kimberly Jean Sandford, FNP

• Registered Dietitian in Camillus, NY
• Providers in Camillus, 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 Mar 12, 2025; 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.