Individual provider Active NPI

Sarah Lynn Quick, MS, RDN

  • Registered Dietitian
  • Camillus, NY
National Provider Identifier
1669070413
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
010576 Issued in NY
Practice address
5100 W Genesee St
Camillus, NY 13031-2354
Phone
(315) 401-0590
NPI assigned
Oct 14, 2020
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Registered Dietitian 133V00000X 010576 NY Primary

Addresses

Primary practice location

5100 W Genesee St
Camillus, NY 13031-2354

Mailing address

104 Fairwood Dr
Syracuse, NY 13219-2733
Phone (315) 401-0590

Other practice location 1

104 Fairwood Dr
Syracuse, NY 13219-2733
Phone (315) 460-0802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016003304 NY Practitioner - Registered Dietitian Or Nutrition Professional 4880126754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Lynn Nutrition Dietitian, Registered CurrentSince Jan 1, 2022 Accepting new patients
Lindatroia,LCSW, P.C. PastSince May 19, 2024 Accepting new patients

Locations

5100 W Genesee St
Camillus, NY 13031
Phone (315) 401-0590

8469 Sheridan Dr
Williamsville, NY 14221
Phone (315) 401-0590

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1669070413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FAIRWOOD DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132192733",
            "telephone_number": "315-401-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312354",
            "telephone_number": "315-401-0590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Fairwood Dr",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132192733",
            "country_code": "US",
            "telephone_number": "315-460-0802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUICK",
        "first_name": "SARAH LYNN",
        "credential": "MS, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.