Active NPI
Aubrey Kruger, R.D., C.D.N
- Registered Dietitian
- Gloversville, NY
National Provider Identifier
1679010102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008844-1
- Practice address
- 99 E State St
Gloversville, NY 12078-1203 - Phone
- (518) 773-5414
- NPI assigned
- Jan 23, 2017
- 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 | 008844-1 | NY | Primary |
Addresses
Primary practice location
99 E State St
Gloversville, NY 12078-1203
Mailing address
64 Vanvranken Rd
Clifton Park, NY 12065-6804
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008844-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1679010102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 VANVRANKEN RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120656804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 E STATE ST",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120781203",
"telephone_number": "518-773-5414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "AUBREY",
"credential": "R.D., C.D.N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-23",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008844-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.