Active NPI
Nancy King, M.S., R.D., C.D.N.
- Registered Dietitian
- Clifton Park, NY
National Provider Identifier
1265984173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008569-1
- Practice address
- 612 Walnut Dr
Clifton Park, NY 12065-7310 - Phone
- (518) 248-1008
- NPI assigned
- Oct 26, 2016
- Last updated
- Oct 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 008569-1 | NY | Primary |
Addresses
Primary practice location
612 Walnut Dr
Clifton Park, NY 12065-7310
Mailing address
9 Gleason Rd
Professional Building
Glenville, NY 12302-5307
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008569-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1265984173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GLEASON RD",
"address_2": "PROFESSIONAL BUILDING",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123025307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 WALNUT DR",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120657310",
"telephone_number": "518-248-1008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "NANCY",
"credential": "M.S., R.D., C.D.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008569-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.