Richard Edward Packard Jr., RDN, LDN, MBA, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

010583 Issued in NY

Practice address

200 Meadow Dr
Horseheads, NY 14845-1716

Phone

(607) 317-7177

Fax

(607) 302-4106

NPI assigned

Oct 3, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, NY2 enrollments

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

80.15 of 100Reported as group

Quality

46.76

Promoting interoperability

100

Improvement activities

40

Cost

77.08

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

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.

• Sound Nutrition Services

  • Registered Dietitian
  • Horseheads, NY
  • NPI 1932332483

  Dietitian, Registered

  NPD Authorized official
• Arnot Medical Services PLLC

  • Internal Medicine Physician
  • Elmira, NY
  • NPI 1427326768
  NPD
• Cathy Boyd Physical Medicine LLC

  • Family Nurse Practitioner
  • Beckley, WV
  • NPI 1154712032
  NPD (past)
• Christopher Grose DC Inc.

  • Chiropractor
  • Beckley, WV
  • NPI 1326167818
  NPD (past)

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1821372376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEADOW DR",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148451716",
            "telephone_number": "607-317-7177",
            "fax_number": "607-302-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEADOW DR",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148451716",
            "telephone_number": "607-317-7177",
            "fax_number": "607-302-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RDN, LDN, MBA, CDCES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-03",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WV",
            "license": "598",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orchard Family Health Care
• Julianne None Osborn, LPN
• Wendy Yvonne Ott, M.S. CCC-SLP
• Pamela Jean Overdurf, LMSW
• Joel Christopher Owens, FNP
• Kelli Lynn Pate, LPN
• Vrutika Patel
• Jeffrey M Patterson, DC
• Pediatric Physical & Occupational Therapy Services, P.L.L.C.
• Aaron Perez, PT, DPT, CSCS

• Registered Dietitian in Horseheads, NY
• Providers in Horseheads, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.