Organization Active NPI

My Healthy Bites Nutrition Services, PLLC.

  • Registered Dietitian
  • Plattsburgh, NY
National Provider Identifier
1295003192
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
007197-1 Issued in NY
Legal business name
MY HEALTHY BITES NUTRITION SERVICES, PLLC.
Practice address
22 US Oval
Suite 116
Plattsburgh, NY 12903-5900
Phone
(518) 569-2505
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Mrs. Tracey Soulia, MS, RD, CDNNPI 1083993562
Title
Owner - Registered Dietitian
Phone
(518) 569-2505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 007197-1 NY Primary

Addresses

Primary practice location

22 US Oval
Suite 116
Plattsburgh, NY 12903-5900

Mailing address

33 Lafayette St
Plattsburgh, NY 12901-1517
Phone (518) 569-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000817 NY Part B Supplier - Clinic/Group Practice 4183897473 Receives reassigned benefits from 1 practitioner
Practice locations: Plattsburgh, NY

National Provider Directory

National Provider Directory

Locations

79 Hammond Ln
Ste 4
Plattsburgh, NY 12901
Phone (518) 569-2505

22 US Oval
Ste 116
Plattsburgh, NY 12903
Phone (518) 569-2505

319 Bay Rd
Queensbury, NY 12804
Phone (518) 792-2181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1295003192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LAFAYETTE ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011517",
            "telephone_number": "518-569-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 US OVAL",
            "address_2": "SUITE 116",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035900",
            "telephone_number": "518-569-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HEALTHY BITES NUTRITION SERVICES, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "SOULIA",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER - REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "518-569-2505",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, CDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007197-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.