Active NPI
Debbie Ann O'Donohue, M.S., R.D., C.D.N.
- Nutritionist
- Swan Lake, NY
National Provider Identifier
1841347846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 001487
- Practice address
- Route 52
Swan Lake
Swan Lake, NY 12783 - Phone
- (845) 292-6875
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 001487 | NY | Primary |
| Registered Dietitian | 133V00000X | 001487 | NY |
Addresses
Primary practice location
Route 52
Swan Lake
Swan Lake, NY 12783
Mailing address
PO Box 465
Wurtsboro, NY 12790-0465
Phone (845) 699-6366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1841347846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 465",
"city": "WURTSBORO",
"state": "NY",
"postal_code": "127900465",
"telephone_number": "845-699-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROUTE 52",
"address_2": "SWAN LAKE",
"city": "SWAN LAKE",
"state": "NY",
"postal_code": "12783",
"telephone_number": "845-292-6875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONOHUE",
"first_name": "DEBBIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.S., R.D., C.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "001487",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "001487",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swan Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.