Individual provider Active NPI

Deborah Clifford Kenney, M.S., R.D.

  • Registered Dietitian
  • New York, NY
National Provider Identifier
1760710362
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
984870 Issued in NY
Practice address
1803 Riverside Dr Apt 5E
New York, NY 10034-5328
Phone
(914) 907-7800
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 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 984870 NY Primary

Addresses

Primary practice location

1803 Riverside Dr Apt 5E
New York, NY 10034-5328

Mailing address

1803 Riverside Dr Apt 5E
New York, NY 10034-5328
Phone (914) 907-7800

Other names 1

  • Deborah Clifford Professional 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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
984870NYMDRegistered Dietitian
007457NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1760710362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 RIVERSIDE DR APT 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345328",
            "telephone_number": "914-907-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 RIVERSIDE DR APT 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345328",
            "telephone_number": "914-907-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "DEBORAH",
        "middle_name": "CLIFFORD",
        "credential": "M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "984870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "CLIFFORD",
            "credential": "M.S., R.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

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