Jennifer Bannigan, RDN, CDN

Key facts

NPI

1649795667

Entity type

Individual (NPI type 1)

Primary specialty

Registered Dietitian 133V00000X

License

009190 (NY)

Practice address

46 Daniel St
Slingerlands, NY 12159

Phone

(518) 451-9120

NPI assigned

Aug 10, 2017

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 11, 2019.

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1649795667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 DANIEL ST",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DANIEL ST",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "12159",
            "telephone_number": "518-451-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNIGAN",
        "first_name": "JENNIFER",
        "credential": "RDN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lev L Barats, MD
• Svetlana Barats, DMD
• Kaelyn Barth
• Alecia M. Bauer-Sears, MS, CCC-SLP
• Laura Ann Bauer, OTR/L

All providers in Slingerlands, NY · Registered Dietitian in New York