Active NPI
Ella Michelle Podhurst, MS, RDN, CDN
- Registered Dietitian
- Huntington Station, NY
National Provider Identifier
1497514202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 8627769
- Practice address
- 24 Aldrich St
Huntington Station, NY 11746-2834 - Phone
- (631) 339-2313
- NPI assigned
- Mar 14, 2024
- 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 | 8627769 | NY | Primary |
Addresses
Primary practice location
24 Aldrich St
Huntington Station, NY 11746-2834
Mailing address
24 Aldrich St
Huntington Station, NY 11746-2834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
61 Lincoln St
Framingham, MA 01702-8264
Phone (508) 820-8332
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8627769 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles River Medical Associates PC | Current | Accepting new patients | |
| Ella Podhurst Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Charles River Medical Associates PC | Current | Accepting new patients | |
| Charles River Medical Associates, PC | Past | Accepting new patients |
Locations
61 Lincoln St
Ste 301
Framingham, MA 01702
Phone (508) 820-8332
600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922
Organizations & group practices 4
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.
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-
- Radiology Clinic/Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1497514202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 ALDRICH ST",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117462834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 ALDRICH ST",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117462834",
"telephone_number": "631-339-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODHURST",
"first_name": "ELLA",
"middle_name": "MICHELLE",
"credential": "MS, RDN, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-14",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "8627769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.