Martha R Wasserbauer, RDN

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

License

86094602 Issued in NY

Practice address

Mountain View Pediatrics
18 Feathers Drive
Plattsburgh, NY 12901

Phone

(518) 324-2040

Fax

(518) 324-2041

NPI assigned

Nov 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1760950372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MOUNTAIN VIEW PEDIATRICS",
            "address_2": "18 FEATHERS DRIVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-324-2040",
            "fax_number": "518-324-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOUNTAIN VIEW PEDIATRICS",
            "address_2": "18 FEATHERS DRIVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-324-2040",
            "fax_number": "518-324-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERBAUER",
        "first_name": "MARTHA",
        "middle_name": "R",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "NY",
            "license": "86094602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie J Ward, LCSW
• Samantha Ward
• Jacob Scott Warner, DO
• Joshua Warner, FNP
• Nader Wassef, M.D.
• William J Watson
• Ann M Watts, RD, CDN, CDE
• Richard A Webber, M.D.
• Jeanette Weber
• Wecare Transport Service

• Registered Dietetic Technician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Registered Dietetic Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.