Active NPI
Ferreira Functional Wellness LLC
- Registered Dietitian
- Troy, NY
National Provider Identifier
1700325073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1061011
- Legal business name
- FERREIRA FUNCTIONAL WELLNESS LLC
- Practice address
- 116 3Rd St
Troy, NY 12180-4037 - Phone
- (518) 308-8740
- NPI assigned
- Feb 19, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Thomsen Ferreira
- Title
- Owner
- Phone
- (518) 308-8740
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1061011 | NY | Primary |
Addresses
Primary practice location
116 3Rd St
Troy, NY 12180-4037
Mailing address
393 6TH Ave
Troy, NY 12182-3031
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487462400000",
"number": "1700325073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 6TH AVE",
"city": "TROY",
"state": "NY",
"postal_code": "121823031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 3RD ST",
"city": "TROY",
"state": "NY",
"postal_code": "121804037",
"telephone_number": "518-308-8740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERREIRA FUNCTIONAL WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-19",
"last_updated": "2017-02-19",
"status": "A",
"authorized_official_last_name": "THOMSEN FERREIRA",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-308-8740"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1061011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.