Active NPI
Amy Katlyn Carion, RDN
- Oncology Nutrition Registered Dietitian
- Detroit, MI
National Provider Identifier
1255932430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Nutrition Registered Dietitian
- License
- 1061536
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 850-9986
- NPI assigned
- Nov 4, 2020
- Last updated
- Nov 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Nutrition Registered Dietitian | 133VN1301X | 1061536 | MI | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
3821 Devon Rd Apt 15
Royal Oak, MI 48073-1952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1061536 | Other | MI | ACADEMY OF NUTRITION AND DIETETICS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1061536 | MI | MD | Oncology Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1255932430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3821 DEVON RD APT 15",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480731952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-850-9986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARION",
"first_name": "AMY",
"middle_name": "KATLYN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1301X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Oncology",
"state": "MI",
"license": "1061536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACADEMY OF NUTRITION AND DIETETICS",
"identifier": "1061536",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.