Individual provider Active NPI

Susan Ellen Herkey, RD

  • Registered Dietitian
  • West Seneca, NY
National Provider Identifier
1336284959
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0019171 Issued in NY
Practice address
1200 E and West Rd
West Seneca, NY 14224-3604
Phone
(716) 517-3670
Fax
(716) 517-3738
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 0019171 NY Primary

Addresses

Primary practice location

1200 E and West Rd
West Seneca, NY 14224-3604

Mailing address

36 Ainsley CT
Williamsville, NY 14221-2867
Phone (716) 639-8413

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019171NYMDRegistered Dietitian
001917NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336284959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 AINSLEY CT",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212867",
            "telephone_number": "716-639-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E AND WEST RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243604",
            "telephone_number": "716-517-3670",
            "fax_number": "716-517-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERKEY",
        "first_name": "SUSAN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "0019171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • 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.