Individual provider Active NPI

Danielle Swierczyna, MS, RDN, CDN

  • Registered Dietitian
  • Utica, NY
National Provider Identifier
1548098502
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
010967 Issued in NY
Practice address
2615 Genesee St
Utica, NY 13501-6230
Phone
(315) 351-2622
Fax
(315) 215-2920
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 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 010967 NY Primary

Addresses

Primary practice location

2615 Genesee St
Utica, NY 13501-6230

Mailing address

2602 4TH St Apt 6B
Astoria, NY 11102-4892
Phone (609) 571-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219001101 NY Practitioner - Registered Dietitian Or Nutrition Professional 3577083732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Nutrition Solutions LLC CurrentSince Nov 14, 2024 Accepting new patients

Locations

2615 Genesee St
Utica, NY 13501
Phone (315) 351-2622

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.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1548098502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 4TH ST APT 6B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024892",
            "telephone_number": "609-571-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016230",
            "telephone_number": "315-351-2622",
            "fax_number": "315-215-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIERCZYNA",
        "first_name": "DANIELLE",
        "credential": "MS, RDN, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.