Nurishu Nutrition & Dietetic Services

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

004910-1 Issued in NY

Legal business name

NURISHU NUTRITION & DIETETIC SERVICES

Practice address

20 Saratoga Ave
South Glens Falls, NY 12803-4838

Phone

(518) 366-3937

Fax

(518) 636-3204

NPI assigned

Jun 9, 2014

Last updated

Jun 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Amigo Gulbrandsen, RDNNPI 1639297815

Title

Registered Dietitian Nutritionist

Phone

(519) 366-3937

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Amigo Gulbrandsen, RDN, CDN

  • Registered Dietitian
  • South Glens Falls, NY
  • NPI 1639297815
  Authorized official Same address or phone
• Elizabeth Dunkley, PT, DPT

  • Physical Therapist
  • Glens Falls, NY
  • NPI 1902159288
  NPD

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1649683574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SARATOGA AVE",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128034838",
            "telephone_number": "518-366-3937",
            "fax_number": "518-636-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SARATOGA AVE",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128034838",
            "telephone_number": "518-366-3937",
            "fax_number": "518-636-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURISHU NUTRITION & DIETETIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "GULBRANDSEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "AMIGO",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "519-366-3937",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "004910-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Mesa Tyree, LMHC
• Allison Leigh Messing Smitkin, DMD
• Kerrie Miksch, M.S.ED., CCC-SLP
• Sara Nelson
• Shawna M Noble, LMHC
• Nicole Marie Pelech, PHARM.D.
• Rite Aid of New York Inc (Rite Aid Pharmacy 00648)
• Emily Russom, OTR/L
• Danielle Scacchetti, LPN
• Nicole Shakow

• Registered Dietitian in South Glens Falls, NY
• Providers in South Glens Falls, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.