Organization Active NPI

Wny Nutrition PLLC

Doing business as Wny Nutrition

  • Registered Dietitian
  • Holland, NY
National Provider Identifier
1801347422
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005754-1 Issued in NY
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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 CDENPI 1538290978
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
005754-1OtherNYPROFESSIONAL LICENSE NYS

Other names 1

  • WNY NUTRITION Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.