Individual provider Active NPI

Robyn Sylvester, RD LPN CDN

  • Nutritionist
  • Rome, NY
National Provider Identifier
1588039796
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
000368 Issued in NY
Practice address
200 W Dominick St
Rome, NY 13440-5846
Phone
(315) 339-6800
NPI assigned
Dec 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 000368 NY Primary

Addresses

Primary practice location

200 W Dominick St
Rome, NY 13440-5846

Mailing address

101 Ruhamah Ave
Syracuse, NY 13205-3211
Phone (315) 339-6800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124002231 NY Practitioner - Registered Dietitian Or Nutrition Professional 1355712621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000368NYMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office 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": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1588039796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RUHAMAH AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132053211",
            "telephone_number": "315-339-6800",
            "fax_number": "315-339-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W DOMINICK ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405846",
            "telephone_number": "315-339-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "ROBYN",
        "name_prefix": "Ms.",
        "credential": "RD LPN CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "000368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.