Active NPI
Joanne Becker, CDN
- Nutritionist
- Scotia, NY
National Provider Identifier
1629357751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 48003974
- Practice address
- 12 Kathleen Dr
Scotia, NY 12302-5708 - Phone
- (518) 384-1698
- NPI assigned
- Aug 7, 2011
- Last updated
- Mar 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 48003974 | NY | Primary |
Addresses
Primary practice location
12 Kathleen Dr
Scotia, NY 12302-5708
Mailing address
12 Kathleen Dr
Scotia, NY 12302-5708
Phone (518) 847-8879
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 |
|---|---|---|---|
| 48003974 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1629357751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 KATHLEEN DR",
"city": "SCOTIA",
"state": "NY",
"postal_code": "123025708",
"telephone_number": "518-847-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 KATHLEEN DR",
"city": "SCOTIA",
"state": "NY",
"postal_code": "123025708",
"telephone_number": "518-384-1698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-07",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "48003974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.