Individual provider Active NPI

Ryan Paul Knarr, MS, RD, CDN, CNSC

  • Registered Dietitian
  • Syracuse, NY
National Provider Identifier
1497909592
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
009232 Issued in NY
Practice address
750 E Adams St Ste 2407B
Syracuse, NY 13210-2306
Phone
(315) 464-4304
Fax
(315) 464-4301
NPI assigned
Nov 17, 2008
Reactivated
Feb 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 009232 NY Primary

Addresses

Primary practice location

750 E Adams St Ste 2407B
Syracuse, NY 13210-2306

Mailing address

750 E Adams St Ste 2407B
Syracuse, NY 13210-2306
Phone (315) 464-4304

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
009232NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1497909592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST STE 2407B",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-4304",
            "fax_number": "315-464-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST STE 2407B",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-4304",
            "fax_number": "315-464-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNARR",
        "first_name": "RYAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MS, RD, CDN, CNSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-17",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "deactivation_date": "2017-12-11",
        "reactivation_date": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.