Active NPI
Beth Suzanne McKinney, RDN
- Registered Dietitian
- Ithaca, NY
National Provider Identifier
1780196303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 41 Murfield Dr
Ithaca, NY 14850-8504 - Phone
- (607) 592-1019
- NPI assigned
- Nov 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | NY | Primary |
Addresses
Primary practice location
41 Murfield Dr
Ithaca, NY 14850-8504
Mailing address
41 Murfield Dr
Ithaca, NY 14850-8504
Phone (607) 592-1019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196982 | Other | NY | ACADEMY OF DIETETICS AND NUTRITION |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509840000000",
"number": "1780196303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MURFIELD DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148508504",
"telephone_number": "607-592-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MURFIELD DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148508504",
"telephone_number": "607-592-1019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "BETH",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-05",
"last_updated": "2017-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACADEMY OF DIETETICS AND NUTRITION",
"identifier": "196982",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.