Alexandra Marie Nicolette, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

009966 Issued in NY

Practice address

2615 Genesee St
Utica, NY 13501-6230

Phone

(315) 351-2622

Fax

(315) 215-2920

NPI assigned

Apr 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Bloom Nutrition Solutions LLC

  • Health Service Clinic/Center
  • New Hartford, NY
  • NPI 1811581705
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1689237372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016230",
            "telephone_number": "315-351-2622",
            "fax_number": "315-215-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135016230",
            "telephone_number": "315-351-2622",
            "fax_number": "315-215-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLETTE",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy L Niblett, M.D.
• Andrea Nice, RDH
• Heather Ann Nichols, CASAC-T
• Shari Lynn Nicoletta II, PHARM. D.
• Nicolette Haley, Family Health Nurse Practitioner, PLLC
• Dominick R Nicotera, L.C.S.W
• Donna Niemetz, RN
• Denise Allison Nierstedt, RDH
• Sabrina J Nieves, RN
• Victor Nkwopara, MD

• Registered Dietitian in Utica, NY
• Providers in Utica, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.

Verify at the official NPI Registry.