Dietitians of Northern New York

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

DIETITIANS OF NORTHERN NEW YORK

Practice address

312 Sherman St
Watertown, NY 13601-3614

Phone

(315) 486-6077

Fax

(315) 486-6077

NPI assigned

Nov 13, 2017

Last updated

Nov 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Etosha Farmer, RDN

Title

Owner

Phone

(315) 486-6077

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1457864456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16358 STAR SCHOOL HOUSE RD",
            "city": "DEXTER",
            "state": "NY",
            "postal_code": "136343094",
            "telephone_number": "315-486-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SHERMAN ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013614",
            "telephone_number": "315-486-6077",
            "fax_number": "315-486-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETITIANS OF NORTHERN NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "ETOSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-486-6077",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L Desrosier, LPN
• Natalie Diaz
• Leon Lansing Dickinson
• Sarah R Dickinson
• Linda Diehl
• Dietitians of Northern New York, PLLC. (Dietitians of Northern New York)
• Adrienne Kelly Dietrich, M.S., ED.
• Margaret Rita Dillabough
• Maria Elena Dille, DDS
• Kimberly Michelle Dinan, OTR/L

• Registered Dietitian in Watertown, NY
• Providers in Watertown, 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 Nov 13, 2017; 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.