Patricia D Endy, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

006294-1 Issued in NY

Practice address

4965 S Eagle Village Rd
Manlius, NY 13104-9459

Phone

(315) 395-6412

NPI assigned

Jan 27, 2006

Last updated

May 6, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1760453971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 S EAGLE VILLAGE RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049459",
            "telephone_number": "315-395-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 S EAGLE VILLAGE RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049459",
            "telephone_number": "315-395-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDY",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006294-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETETIC REGIS. NUMBER",
            "identifier": "15864",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khadija Elharti
• Edious K. Elliot, DMD
• Stacey Patricia Elliott, D.O.
• Andrea P Ellis, RN
• Peter H Emery Jr., RPH
• Charlotte Giovanna Ennis, DPT
• Mark Steven Erlebacher, M.D.
• Fairgrounds Family Physicians PLLC
• Fairway Management, LLC (inDeed Wellness)
• Fayetteville Manlius School District

• Registered Dietitian in Manlius, NY
• Providers in Manlius, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.