Active NPI
Juanita M Bryant, R.D., CDN
- Registered Dietitian
- Ghent, NY
National Provider Identifier
1356597058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2 Sherman Potts Drive
Ghent, NY 12075 - Phone
- (518) 929-0915
- NPI assigned
- Aug 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2 Sherman Potts Drive
Ghent, NY 12075
Mailing address
6 Hamm Rd
Hudson, NY 12534-4617
Phone (518) 929-0915
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1356597058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HAMM RD",
"city": "HUDSON",
"state": "NY",
"postal_code": "125344617",
"telephone_number": "518-929-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SHERMAN POTTS DRIVE",
"city": "GHENT",
"state": "NY",
"postal_code": "12075",
"telephone_number": "518-929-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "JUANITA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "R.D., CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ghent, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.