Erica Marie Carney

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

011679 Issued in NY

Practice address

25 Chateau Dr
Melville, NY 11747-4132

Phone

(516) 474-3862

NPI assigned

Jan 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bloom Nutrition Solutions LLC

  • Registered Dietitian
  • Utica, NY
  • NPI 1811581705
  NPD

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1457122392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHATEAU DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474132",
            "telephone_number": "516-474-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHATEAU DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474132",
            "telephone_number": "516-474-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "ERICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "861503",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "011679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Carlins
• Deanna Carlisi, RN
• Phyllis Anne Carlson, PH.D.
• Lauren Rose Carmel, PT
• Kelly Carmine
• Laura Virginia Carrasco
• Hayley Natasha Carrigton, PSYCHOLOGIST
• Alexandra Carrus
• Tara Carter
• Jenna Caruso

• Registered Dietitian in Melville, NY
• Providers in Melville, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.