Active NPI
Patricia Daley-Jimenez, CD/N
- Nutrition Education Nutritionist
- North Bellmore, NY
National Provider Identifier
1730482589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 48 004927
- Practice address
- 102 Laux PL
North Bellmore, NY 11710-2028 - Phone
- (516) 426-8853
- NPI assigned
- Dec 17, 2010
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 48 004927 | NY | Primary |
Addresses
Primary practice location
102 Laux PL
North Bellmore, NY 11710-2028
Mailing address
102 Laux PL
North Bellmore, NY 11710-2028
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 |
|---|---|---|---|
| 48 004927 | NY | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1730482589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 LAUX PL",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117102028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 LAUX PL",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117102028",
"telephone_number": "516-426-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALEY-JIMENEZ",
"first_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "CD/N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-17",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "48 004927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.