Active NPI
Carrie Grace Mosser
- Registered Dietitian
- Syracuse, NY
National Provider Identifier
1396561601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5338
- Practice address
- 304 S Salina St Apt 2T
Syracuse, NY 13202-1638 - Phone
- (540) 487-0748
- NPI assigned
- Dec 2, 2024
- 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 | 5338 | AL | Primary |
Addresses
Primary practice location
304 S Salina St Apt 2T
Syracuse, NY 13202-1638
Mailing address
304 S Salina St Apt 2T
Syracuse, NY 13202-1638
Phone (540) 487-0748
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5338 | AL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1396561601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S SALINA ST APT 2T",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132021638",
"telephone_number": "540-487-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S SALINA ST APT 2T",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132021638",
"telephone_number": "540-487-0748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSSER",
"first_name": "CARRIE",
"middle_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "5338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.