Individual provider Active NPI

Eileen Joyce Sharrow, NDTR

  • Registered Dietetic Technician
  • Ogdensburg, NY
National Provider Identifier
1306478722
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Dietetic TechnicianTaxonomy code 136A00000X
License
861775 Issued in NY
Practice address
214 King St
Ogdensburg, NY 13669
Phone
(315) 713-5018
Fax
(315) 713-5520
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietetic TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 136A00000X 861775 NY Primary

Addresses

Primary practice location

214 King St
Ogdensburg, NY 13669

Mailing address

6830 County Route 27
Canton, NY 13617-3817
Phone (315) 714-9418

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
861775NYMDRegistered Dietetic Technician

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1306478722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 COUNTY ROUTE 27",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136173817",
            "telephone_number": "315-714-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "13669",
            "telephone_number": "315-713-5018",
            "fax_number": "315-713-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARROW",
        "first_name": "EILEEN",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "NDTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietetic Technician, Registered",
            "state": "NY",
            "license": "861775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.