Individual provider Active NPI

Abra Pappa, CNS - NUTRITIONIST

  • Nutritionist
  • New York, NY
National Provider Identifier
1538640925
Registry record updated Mar 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
CNS-17558 Issued in NY
Practice address
929 W End Ave Apt 4B
New York, NY 10025-3550
Phone
(646) 303-5404
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X CNS-17558 NY Primary
Nutritionist 133N00000X DN007178 PA

Addresses

Primary practice location

929 W End Ave Apt 4B
New York, NY 10025-3550

Mailing address

929 W End Ave Apt 4B
New York, NY 10025-3550
Phone (646) 303-5404

Other practice location 1

900 Broadway Ste 403
New York, NY 10003-1239
Phone (646) 303-5404

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
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
CNS-17558NYMDNutritionist
DN007178PAMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1538640925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 W END AVE APT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253550",
            "telephone_number": "646-303-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W END AVE APT 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253550",
            "telephone_number": "646-303-5404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Broadway Ste 403",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100031239",
            "country_code": "US",
            "telephone_number": "646-303-5404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPA",
        "first_name": "ABRA",
        "credential": "CNS - NUTRITIONIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "CNS-17558",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN007178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; 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.