Active NPI
Jennifer Franck-Wyant, MS RD CDN
- Registered Dietitian
- Monticello, NY
National Provider Identifier
1518569433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005813
- Practice address
- 641 Old Route 17
Monticello, NY 12701-7014 - Phone
- (845) 707-8555
- NPI assigned
- Nov 16, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 005813 | NY | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 005813 | NY | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 005813 | NY | |
| Registered Dietitian | 133V00000X | 005813 | NY | Primary |
Addresses
Primary practice location
641 Old Route 17
Monticello, NY 12701-7014
Mailing address
15 Campbell Rd
Warwick, NY 10990-1507
Phone (845) 544-4887
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catskill Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Monticello, NY
- NPI 1720039563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1518569433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CAMPBELL RD",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901507",
"telephone_number": "845-544-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 OLD ROUTE 17",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127017014",
"telephone_number": "845-707-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCK-WYANT",
"first_name": "JENNIFER",
"credential": "MS RD CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "005813",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NY",
"license": "005813",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "NY",
"license": "005813",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.