Individual provider Active NPI

Erin Taylor Palma, RDN CDN CDE HERBLST

  • Registered Dietitian
  • Fairport, NY
National Provider Identifier
1669708954
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
887482 Issued in NY
Practice address
44 Heatherwood Rd
Fairport, NY 14450-1135
Phone
(585) 770-4401
NPI assigned
Oct 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X 887482 NY
Registered Dietitian 133V00000X 887482 NY Primary

Addresses

Primary practice location

44 Heatherwood Rd
Fairport, NY 14450-1135

Mailing address

44 Heatherwood Rd
Fairport, NY 14450-1135
Phone (585) 770-4401

Other practice location 1

2391 Penfield Rd
Penfield, NY 14526-1953
Phone (585) 770-4401

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://secure.gethealthie.com/ Health Information Exchange (HIE)

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
887482NYMDRegistered Dietitian
007322NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly'S Choice, LLC Dietitian, Registered CurrentSince Jul 1, 2022 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

1390 Market St
Ste 200
San Francisco, CA 94102
Phone (415) 864-4482

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1669708954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HEATHERWOOD RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501135",
            "telephone_number": "585-770-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HEATHERWOOD RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501135",
            "telephone_number": "585-770-4401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2391 Penfield Rd",
            "address_purpose": "LOCATION",
            "city": "Penfield",
            "state": "NY",
            "postal_code": "145261953",
            "country_code": "US",
            "telephone_number": "585-770-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMA",
        "first_name": "ERIN",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "RDN CDN CDE HERBLST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "887482",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "887482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://secure.gethealthie.com/",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "44 Heatherwood Rd",
            "city": "Fairport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144501135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.