Active NPI
Wny Nutrition PLLC
Doing business as Wny Nutrition
- Registered Dietitian
- Holland, NY
National Provider Identifier
1801347422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005754-1
- Legal business name
- WNY NUTRITION PLLC
- Doing business as
- Wny Nutrition
- Practice address
- 12835 Whitney Rd
Holland, NY 14080-9753 - Phone
- (716) 316-3722
- Fax
- (716) 537-2475
- NPI assigned
- Oct 19, 2016
- Last updated
- Oct 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sarah Anne Thompson Dipaolo, MS RD CDN CDE
- Title
- Owner/Registered Dietitian
- Phone
- (716) 316-3722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005754-1 | NY | Primary |
Addresses
Primary practice location
12835 Whitney Rd
Holland, NY 14080-9753
Mailing address
12835 Whitney Rd
Holland, NY 14080-9753
Phone (716) 316-3722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005754-1 | Other | NY | PROFESSIONAL LICENSE NYS |
Other names 1
- WNY NUTRITION
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Holland, NY
- NPI 1538290978
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476835200000",
"number": "1801347422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12835 WHITNEY RD",
"city": "HOLLAND",
"state": "NY",
"postal_code": "140809753",
"telephone_number": "716-316-3722",
"fax_number": "716-537-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12835 WHITNEY RD",
"city": "HOLLAND",
"state": "NY",
"postal_code": "140809753",
"telephone_number": "716-316-3722",
"fax_number": "716-537-2475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WNY NUTRITION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A",
"authorized_official_last_name": "THOMPSON DIPAOLO",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
"authorized_official_telephone_number": "716-316-3722",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS RD CDN CDE"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005754-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE NYS",
"identifier": "005754-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WNY NUTRITION",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Holland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.