Caroline L Weizenecker, RD, CDN
Individual provider Active NPI Registered Dietitian · Patterson, NY
NPI 1790403103 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1790403103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 711260 (NY)
- Practice address
- 996 Route 311
Patterson, NY 12563-2707 - Phone
- (120) 354-5822
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 711260 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 711260 | NY | |
| Registered Dietitian | 133V00000X | 711260 | NY | Yes |
Addresses
Primary practice location
996 Route 311
Patterson, NY 12563-2707
Mailing address
996 Route 311
Patterson, NY 12563-2707
Phone (203) 545-8227
Other names
- Cari L Weizenecker
Other providers in Patterson, NY
- Leena S Vattappally
- Mary Annette Vazquez
- Christina Renee Von Dietsch
- Adam Warm
- Daisy Weisbein
- Jonathan Ilan Zach
- Melissa Danielle Zaug
- Robin M Zencheck
- Julie Ann Zimmermann
All providers in Patterson, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.