Individual provider Active NPI

Judith Overslaugh, RD, CDE

  • Registered Dietitian
  • Rochester, NY
National Provider Identifier
1801955885
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
003989 Issued in NY
Practice address
222 Alexander St
Rochester, NY 14607
Phone
(585) 922-8400
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 003989 NY Primary

Addresses

Primary practice location

222 Alexander St
Rochester, NY 14607

Mailing address

222 Alexander St
Rochester, NY 14607
Phone (585) 922-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519001015 NY Practitioner - Registered Dietitian Or Nutrition Professional 3375534399 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003989NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Mar 27, 2019 Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

222 Alexander St
Rochester, NY 14607
Phone (585) 546-3280

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1801955885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ALEXANDER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14607",
            "telephone_number": "585-922-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ALEXANDER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14607",
            "telephone_number": "585-922-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERSLAUGH",
        "first_name": "JUDITH",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "003989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.