Active NPI
Ashley Diane Willson, RD, CDN, CCDES
- Registered Dietitian
- Halfmoon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007330-1
- Practice address
- 1783 Route 9 Ste 101
Halfmoon, NY 12065-2467 - Phone
- (518) 881-1091
- Fax
- (518) 881-0796
- NPI assigned
- Jan 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 007330 | NY | |
| Registered Dietitian | 133V00000X | 007330-1 | NY | Primary |
Addresses
Primary practice location
1783 Route 9 Ste 101
Halfmoon, NY 12065-2467
Mailing address
6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700
Other names 1
- Ashley Diane Wojcicki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200422001276 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 0547690117 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care Physicians PLLC
Practice addresses (Care Compare)
1783 Route 9
Suite 101
Halfmoon, NY 12065-2467
Phone (518) 371-5437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007330-1 | NY | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PLLC | Current | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Saratoga Hospital | Past | Accepting new patients | |
| Community Care Physicians, PC | Past | Accepting new patients |
Locations
84 E State St
Gloversville, NY 12078
Phone (518) 332-4336
1783 Route 9
Ste 101
Halfmoon, NY 12065
Phone (518) 881-1091
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900
211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
Interoperability endpoints
- ashleywillson@ccp.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
-
- Family Medicine Physician
- Ballston Lake, NY
- NPI 1922482264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1679843643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WELLNESS WAY STE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102156",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1783 ROUTE 9 STE 101",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120652467",
"telephone_number": "518-881-1091",
"fax_number": "518-881-0796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLSON",
"first_name": "ASHLEY",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "RD, CDN, CCDES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-09",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "007330",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007330-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "WOJCICKI",
"middle_name": "DIANE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Halfmoon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.