Individual provider Active NPI

Amy Mears-Teitsch, R.D.

  • Registered Dietitian
  • Albany, NY
National Provider Identifier
1720520471
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
701477 Issued in IL
Practice address
Empire State PLZ
Room 1395
Albany, NY 12237-0001
Phone
(518) 402-7600
Fax
(518) 402-7609
NPI assigned
Nov 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 701477 IL Primary

Addresses

Primary practice location

Empire State PLZ
Room 1395
Albany, NY 12237-0001

Mailing address

Empire State PLZ
Room 1395
Albany, NY 12237-0001
Phone (518) 402-7600

Other names 1

  • Ms. Amy Beth Mears Former name

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

LicenseStateTypeSpecialty
701477ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1720520471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EMPIRE STATE PLZ",
            "address_2": "ROOM 1395",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122370001",
            "telephone_number": "518-402-7600",
            "fax_number": "518-402-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMPIRE STATE PLZ",
            "address_2": "ROOM 1395",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122370001",
            "telephone_number": "518-402-7600",
            "fax_number": "518-402-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEARS-TEITSCH",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "701477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MEARS",
            "middle_name": "BETH",
            "prefix": "MS.",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.