Mary K. Jones, RD.CDE.CDN

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

002636 Issued in NY

Practice address

109 W Bay PLZ
Plattsburgh, NY 12901-1785

Phone

(518) 561-1316

Fax

(518) 561-2980

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326186446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COLLIGAN PT.RD.",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-561-1316",
            "fax_number": "518-561-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W BAY PLZ",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011785",
            "telephone_number": "518-561-1316",
            "fax_number": "518-561-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARY",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "RD.CDE.CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NY",
            "license": "002636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda L Johnston, CNP, CNM
• Hannah Michelle Jolicoeur
• Jonathan Beach DO PLLC (Urgicare of the Northeast)
• Jonathan Mulholland, DC (Plattsburgh Sports Medicine)
• Jenna Elizabeth Jones, RD
• Rada Jones, M.D.
• Russell A. Jones, FNP
• Ursula Marie Jones, MSW
• Juli a. Larson MD PLLC (New England Vision)
• Cheryl Kabeli, NP

• Pediatric Nutrition Registered Dietitian in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Pediatric Nutrition Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.