Active NPI
Deborah L Fennell, R.D., CDN
- Registered Dietitian
- Little Falls, NY
National Provider Identifier
1619924040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 006088-1
- Practice address
- 140 Burwell St
Little Falls, NY 13365-1725 - Phone
- (315) 823-5381
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 006088-1 | NY | Primary |
Addresses
Primary practice location
140 Burwell St
Little Falls, NY 13365-1725
Mailing address
200 Fairway Dr
New Hartford, NY 13413-1010
Phone (315) 738-0526
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 |
|---|---|---|---|
| 006088-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619924040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 FAIRWAY DR",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131010",
"telephone_number": "315-738-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 BURWELL ST",
"city": "LITTLE FALLS",
"state": "NY",
"postal_code": "133651725",
"telephone_number": "315-823-5381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENNELL",
"first_name": "DEBORAH",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "R.D., CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "006088-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.