Individual provider Active NPI

Diane Ehle Pietrocarlo, R.D., C.D.N.

  • Registered Dietitian
  • Glenville, NY
National Provider Identifier
1285692491
Registry record updated Oct 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
535353 Issued in NY
Practice address
9 Gleason Rd
Professional Building
Glenville, NY 12302-5307
Phone
(518) 384-0562
Fax
(518) 384-0562
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 535353 NY Primary

Addresses

Primary practice location

9 Gleason Rd
Professional Building
Glenville, NY 12302-5307

Mailing address

400 Rector Rd
Glenville, NY 12302-6702
Phone (518) 374-6424

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

LicenseStateTypeSpecialty
535353NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191715200000",
    "number": "1285692491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RECTOR RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123026702",
            "telephone_number": "518-374-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GLEASON RD",
            "address_2": "PROFESSIONAL BUILDING",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123025307",
            "telephone_number": "518-384-0562",
            "fax_number": "518-384-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETROCARLO",
        "first_name": "DIANE",
        "middle_name": "EHLE",
        "name_prefix": "Ms.",
        "credential": "R.D., C.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "535353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2007; 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.