Active NPI
Karen Peppas
- Registered Dietitian
- Newark, NY
National Provider Identifier
1750756151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 707524
- Practice address
- 150 Van Buren St
Newark, NY 14513-1238 - Phone
- (315) 331-7741
- Fax
- (315) 331-0566
- NPI assigned
- Dec 10, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 707524 | NY | Primary |
Addresses
Primary practice location
150 Van Buren St
Newark, NY 14513-1238
Mailing address
75 Pfohl PL
Williamsville, NY 14221-6821
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 707524 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1750756151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PFOHL PL",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 VAN BUREN ST",
"city": "NEWARK",
"state": "NY",
"postal_code": "145131238",
"telephone_number": "315-331-7741",
"fax_number": "315-331-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPAS",
"first_name": "KAREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "707524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.