Active NPI
Amber Narcisse, RDN
- Registered Dietitian
- Spring Valley, NY
National Provider Identifier
1568080885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 010564
- Practice address
- 195 N Main St
Spring Valley, NY 10977-4108 - Phone
- (845) 548-1392
- Fax
- (845) 503-2306
- NPI assigned
- Jul 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86054063 | ||
| Registered Dietitian | 133V00000X | 010564 | NY | Primary |
Addresses
Primary practice location
195 N Main St
Spring Valley, NY 10977-4108
Mailing address
195 N Main St
Spring Valley, NY 10977-4108
Phone (845) 548-1392
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010564 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Narcisse Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634428800000",
"number": "1568080885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 N MAIN ST",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109774108",
"telephone_number": "845-548-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 N MAIN ST",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109774108",
"telephone_number": "845-548-1392",
"fax_number": "845-503-2306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARCISSE",
"first_name": "AMBER",
"name_prefix": "Ms.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2021-10-17",
"certification_date": "2021-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86054063",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "010564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.