Active NPI
Ellen M Driscoll, RD CDE
- Registered Dietitian
- Carle Place, NY
National Provider Identifier
1437206687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5860941
- Practice address
- 20 Titus Ave
Carle Place, NY 11514-1326 - Phone
- (516) 338-5239
- NPI assigned
- Jan 3, 2007
- 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 | 5860941 | NY | Primary |
Addresses
Primary practice location
20 Titus Ave
Carle Place, NY 11514-1326
Mailing address
20 Titus Ave
Carle Place, NY 11514-1326
Phone (516) 338-5239
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001613 | NY | MD | Marriage & Family Therapist |
| 5860941 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437206687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 TITUS AVE",
"city": "CARLE PLACE",
"state": "NY",
"postal_code": "115141326",
"telephone_number": "516-338-5239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 TITUS AVE",
"city": "CARLE PLACE",
"state": "NY",
"postal_code": "115141326",
"telephone_number": "516-338-5239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL",
"first_name": "ELLEN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RD CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "5860941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carle Place, 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.