Active NPI
Tracy Cherry, RD, CDN
- Registered Dietitian
- Rochester, NY
National Provider Identifier
1639202955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002807-1
- Practice address
- 2400 S. Clinton Ave
BLD. H, Ste. 130
Rochester, NY 14618 - Phone
- (585) 341-7103
- NPI assigned
- Mar 14, 2007
- 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 | 002807-1 | NY | Primary |
Addresses
Primary practice location
2400 S. Clinton Ave
BLD. H, Ste. 130
Rochester, NY 14618
Mailing address
2400 S. Clinton Ave
Building H, Suite 130
Rochester, NY 14618
Phone (585) 341-7103
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 |
|---|---|---|---|
| 002807-1 | NY | MD | Registered Dietitian |
| 2807 | NY | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Clinical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Rochester, NY
- NPI 1811936727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639202955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S. CLINTON AVE",
"address_2": "BUILDING H, SUITE 130",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-341-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S. CLINTON AVE",
"address_2": "BLD. H, STE. 130",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-341-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "TRACY",
"credential": "RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "002807-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.