Elizabeth M Wyman, RD,CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

007507 Issued in NY

Practice address

1270 Dean St
Niskayuna, NY 12309-5724

Phone

(518) 836-5977

Fax

(518) 348-4156

NPI assigned

Jul 11, 2012

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Peter's Health Partners Medical Associates, P.C.

  • Multi-Specialty Clinic/Center
  • Albany, NY
  • NPI 1750626834

  Dietitian, Registered

  NPD
• St. Peter's Hospital of the City of Albany

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1497701106
  NPD
• St. Peter's Hospital of the City of Albany

  dba St. Peter's Hospital

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1518042357
  NPD

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1285999649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 DEAN ST",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123095724",
            "telephone_number": "518-836-5977",
            "fax_number": "518-348-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 DEAN ST",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123095724",
            "telephone_number": "518-836-5977",
            "fax_number": "518-348-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMAN",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "RD,CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007507",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "007507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Williams
• Jonas Wilson-Leedy, M.D.
• Katherine Semple Winchester, FNP-C
• Woman's Healthcare Group
• WW Niskayuna Operator, Inc. (Brookdale Niskayuna)
• Kristopher George Yager, M.S.-ED., CCC-SLP
• Margaret Comerford Zarcone
• Abigail Kay Zielke, OD
• Arika Zimmerman

• Registered Dietitian in Niskayuna, NY
• Providers in Niskayuna, 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 Dec 19, 2022; 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.