Camille Motte Dit Falisse, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86169929 Issued in NY

Practice address

305 E 95TH St Apt 6D
New York, NY 10128-5776

Phone

(703) 975-6302

NPI assigned

Oct 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Camille Falisse Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Fay Nutrition

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  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1487370409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 95TH ST APT 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285776",
            "telephone_number": "703-975-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 95TH ST APT 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285776",
            "telephone_number": "703-975-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTE DIT FALISSE",
        "first_name": "CAMILLE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86169929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "FALISSE",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mott Street Dental P.C
• Mott Street Optical Inc.
• Mott Women Healthcare PLLC
• John Mott, M.D.
• Dahlia Lauren Mottahedeh, PSY.D.
• Jeffrey Motter, PHD
• Meredith Mottern
• Diana M Motti, NP
• Ciara Mottier, FNP
• Virginia Mottla, PT, DPT, CSCS

• Registered Dietitian in New York, NY
• Providers in New York, 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 Oct 12, 2022; 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.