Active NPI
Katlyn Boghosian
- Registered Dietitian
- Saratoga Springs, NY
National Provider Identifier
1750848156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 009483
- Practice address
- 3050 Route 50 FL 2
Saratoga Springs, NY 12866-2958 - Phone
- (518) 886-5121
- Fax
- (518) 886-5857
- NPI assigned
- Feb 22, 2019
- 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 | 009483 | NY | Primary |
Addresses
Primary practice location
3050 Route 50 FL 2
Saratoga Springs, NY 12866-2958
Mailing address
3050 Route 50 FL 2
Saratoga Springs, NY 12866-2958
Phone (518) 886-5121
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 |
|---|---|---|---|
| 009483 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1750848156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 ROUTE 50 FL 2",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128662958",
"telephone_number": "518-886-5121",
"fax_number": "518-886-5857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 ROUTE 50 FL 2",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128662958",
"telephone_number": "518-886-5121",
"fax_number": "518-886-5857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGHOSIAN",
"first_name": "KATLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "009483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.