Individual provider Active NPI

Christine Fleming

  • Registered Dietitian
  • Buffalo, NY
National Provider Identifier
1629420690
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
184 Barton St
Buffalo, NY 14213-1573
Phone
(716) 881-6191
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

184 Barton St
Buffalo, NY 14213-1573

Mailing address

1188 West Ave
Buffalo, NY 14213-1312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180111000605 NY Practitioner - Registered Dietitian Or Nutrition Professional 0244599603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008803NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jericho Road Ministries Inc. CurrentSince Nov 22, 2017 Accepting new patients
Jericho Road Ministries Inc. CurrentSince Nov 22, 2017 Accepting new patients

Locations

184 Barton St
Buffalo, NY 14213
Phone (716) 348-3000

1500 Main St
Buffalo, NY 14209
Phone (716) 503-9777

100 E Tupper St
Buffalo, NY 14203
Phone (716) 539-6743

182 Breckenridge St
Buffalo, NY 14213
Phone (716) 348-3011

21 Doat St
Buffalo, NY 14211
Phone (716) 339-9210

1021 Broadway St
Buffalo, NY 14212
Phone (716) 529-3020

184 Barton St
Ste 1
Buffalo, NY 14213
Phone (716) 881-6191

Interoperability endpoints

  • Direct secure messaging: christine.fleming@jrchc.medentdirect.com

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1629420690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 WEST AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 BARTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131573",
            "telephone_number": "716-881-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.