Norma Angela Reid Archibald, RD,CDE, CDN

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

0027991 Issued in NY

Practice address

897 Stanton Ave
North Baldwin, NY 11510-2443

Phone

(516) 606-0179

Fax

(516) 546-9323

NPI assigned

Sep 26, 2008

Last updated

Sep 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1649420506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 STANTON AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102443",
            "telephone_number": "516-606-0179",
            "fax_number": "516-546-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 STANTON AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102443",
            "telephone_number": "516-606-0179",
            "fax_number": "516-546-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID ARCHIBALD",
        "first_name": "NORMA",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "RD,CDE, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "0027991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Metabolic Nutrition Registered Dietitian in North Baldwin, NY
• Providers in North Baldwin, NY by specialty
• Metabolic Nutrition Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.