NPIMap

Organization Active NPI

Nutrition Service of Upstate New York, LLC

  • Registered Dietitian
  • Elmira, NY
National Provider Identifier
1457010910
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION SERVICE OF UPSTATE NEW YORK, LLC
Practice address
1003 Walnut St
Elmira, NY 14901-1007
Phone
(607) 732-5646
NPI assigned
Dec 13, 2021
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Carolyn Chaffee, MS, RDN, CEDRD-SNPI 1386388601
Title
Owner, Dietitian
Phone
(607) 732-5646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1003 Walnut St
Elmira, NY 14901-1007

Mailing address

1003 Walnut St
Elmira, NY 14901-1007
Phone (607) 732-5646

Other practice location 1

407 Tulip St
Liverpool, NY 13088-4962
Phone (607) 732-5646

Other practice location 2

400 Plaza Dr Ste C
Vestal, NY 13850-3649
Phone (607) 732-5646

Other practice location 3

208 E State St
Ithaca, NY 14850-5583
Phone (607) 732-5646

National Provider Directory

National Provider Directory

Locations

407 Tulip St
Liverpool, NY 13088
Phone (315) 657-3111

400 Plaza Dr
Ste C
Vestal, NY 13850
Phone (607) 237-0065

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1457010910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WALNUT ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011007",
            "telephone_number": "607-732-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WALNUT ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011007",
            "telephone_number": "607-732-5646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Tulip St",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130884962",
            "country_code": "US",
            "telephone_number": "607-732-5646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Plaza Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Vestal",
            "state": "NY",
            "postal_code": "138503649",
            "country_code": "US",
            "telephone_number": "607-732-5646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 E State St",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148505583",
            "country_code": "US",
            "telephone_number": "607-732-5646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUTRITION SERVICE OF UPSTATE NEW YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "CHAFFEE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER, DIETITIAN",
        "authorized_official_telephone_number": "607-732-5646",
        "authorized_official_credential": "MS, RDN, CEDRD-S"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.