Active NPI
Carmela A Hidalgo
- Registered Dietitian
- Thiells, NY
National Provider Identifier
1477136703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 003450-01
- Practice address
- 11 Wilbur Rd
Thiells, NY 10984-7555 - Phone
- (845) 947-6220
- NPI assigned
- May 4, 2021
- 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 | 003450-01 | NY | Primary |
Addresses
Primary practice location
11 Wilbur Rd
Thiells, NY 10984-7555
Mailing address
10 Manor Dr W
Poughkeepsie, NY 12603-3779
Phone (845) 546-2654
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003450-01 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1477136703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MANOR DR W",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126033779",
"telephone_number": "845-546-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 WILBUR RD",
"city": "THIELLS",
"state": "NY",
"postal_code": "109847555",
"telephone_number": "845-947-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDALGO",
"first_name": "CARMELA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "003450-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thiells, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.