Active NPI
Heather Lynn Neely, RD, CDN
- Registered Dietitian
- Syracuse, NY
National Provider Identifier
1518271808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 896390
- Practice address
- 765 Irving Avenue
Marley Education Center, Suite 229
Syracuse, NY 13210 - Phone
- (315) 470-5787
- NPI assigned
- Jul 29, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 896390 | NY | Primary |
Addresses
Primary practice location
765 Irving Avenue
Marley Education Center, Suite 229
Syracuse, NY 13210
Mailing address
765 Irving Avenue
Marley Education Center, Suite 229
Syracuse, NY 13210
Phone (315) 470-5787
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 |
|---|---|---|---|
| 896390 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1518271808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 IRVING AVENUE",
"address_2": "MARLEY EDUCATION CENTER, SUITE 229",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-470-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 IRVING AVENUE",
"address_2": "MARLEY EDUCATION CENTER, SUITE 229",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-470-5787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELY",
"first_name": "HEATHER",
"middle_name": "LYNN",
"credential": "RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-29",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "896390",
"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 Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.