Carolyn H Nelson, MS, RD, CDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86032414 Issued in NY

Practice address

1201 Colvin Blvd Ste 2a
Buffalo, NY 14223-1936

Phone

(716) 320-3400

NPI assigned

Sep 25, 2015

Last updated

Apr 24, 2023By 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 names 1

• Carolyn G Henry Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1780054361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 COLVIN BLVD STE 2A",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231936",
            "telephone_number": "716-320-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 COLVIN BLVD STE 2A",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231936",
            "telephone_number": "716-320-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CAROLYN",
        "middle_name": "H",
        "credential": "MS, RD, CDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86032414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "HENRY",
            "middle_name": "G",
            "credential": "MS, RD, CDN, CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary L Neiswonger
• Raymond Arthur Neiswonger, RN, ACNP, BC
• Miranda Nellis
• Christine Nelson-Tuttle, PNP
• Barbara Jean Nelson, PH.D.
• Carrie Nelson
• Carrie E Nelson, MS, OTR/L
• Erin Nelson, OTR/L
• Joshua Nelson, D.C.
• Kendall Nelson

• Registered Dietitian in Buffalo, NY
• Providers in Buffalo, 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 Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.