Individual provider Active NPI

Danielle Eller, MS RD CDN CSP

  • Pediatric Nutrition Registered Dietitian
  • Albany, NY
National Provider Identifier
1558891663
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
License
1091325 Issued in NY
Practice address
125 Wolf Rd Ste 212
Albany, NY 12205-1221
Phone
(212) 342-3587
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian 133VN1004X 1091325 NY Primary

Addresses

Primary practice location

125 Wolf Rd Ste 212
Albany, NY 12205-1221

Mailing address

87 Iroquois TRL
Slingerlands, NY 12159-9439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219000554 NY Practitioner - Registered Dietitian Or Nutrition Professional 5092235234 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1091325NYMDPediatric Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Lynn Nutrition CurrentSince Nov 16, 2024 Accepting new patients
Lindatroia,LCSW, P.C. PastSince Nov 16, 2024 Accepting new patients

Locations

125 Wolf Rd
Ste 212
Albany, NY 12205
Phone (212) 342-3587

5100 W Genesee St
Camillus, NY 13031
Phone (315) 401-0590

Organizations & group practices 2

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1558891663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 IROQUOIS TRL",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WOLF RD STE 212",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051221",
            "telephone_number": "212-342-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "MS RD CDN CSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NY",
            "license": "1091325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; 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.