Active NPI
Judy Shishmanian, MS, RD, CDE
- Registered Dietitian
- Poughkeepsie, NY
National Provider Identifier
1659321149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002178
- Practice address
- 241 North Rd
St. Francis Hospital
Poughkeepsie, NY 12601-1154 - Phone
- (845) 483-5188
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 002178 | NY | Primary |
Addresses
Primary practice location
241 North Rd
St. Francis Hospital
Poughkeepsie, NY 12601-1154
Mailing address
241 North Rd
St. Francis Hospital
Poughkeepsie, NY 12601-1154
Phone (845) 483-5188
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002178 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1659321149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 NORTH RD",
"address_2": "ST. FRANCIS HOSPITAL",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011154",
"telephone_number": "845-483-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 NORTH RD",
"address_2": "ST. FRANCIS HOSPITAL",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011154",
"telephone_number": "845-483-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHISHMANIAN",
"first_name": "JUDY",
"name_prefix": "Mrs.",
"credential": "MS, RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "002178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.