Utica Nutrition Services Certified Dietitian Nutritionist

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

UTICA NUTRITION SERVICES CERTIFIED DIETITIAN NUTRITIONIST

Practice address

2709 Genesee St Ste 213
Utica, NY 13501-6222

Phone

(315) 922-3192

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Cleanne Lynn Johnson, CDN

Title

Certified Dietitian Nutritionist

Phone

(315) 922-3192

Specialties & licenses 2

Addresses

Other names 1

• Utica Nutrition Services Doing business as

Locations

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1558038232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 377",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130377",
            "telephone_number": "315-922-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 GENESEE ST STE 213",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016222",
            "telephone_number": "315-922-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTICA NUTRITION SERVICES CERTIFIED DIETITIAN NUTRITIONIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLEANNE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CERTIFIED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "315-922-3192",
        "authorized_official_credential": "CDN"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utica Nutrition Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Utica Ambulance Service, Inc.
• Utica Catholic Charities
• Utica City School District
• Utica City School District
• Utica Crossings LLC
• Utica Operations Assoc LLC
• Utica Operations Assoc LLC
• Utica Safe Schools Healthy Students Partnership, Inc.
• Utica Urologic Associates, P.C.
• Utica Youth & Families, Inc.

• Registered Dietitian in Utica, NY
• Providers in Utica, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.