Active NPI
Nicole Carney, RD, CDN
- Registered Dietitian
- Utica, NY
National Provider Identifier
1861880791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008183
- Practice address
- 1676 Sunset Ave
Utica, NY 13502-5416 - Phone
- (315) 624-5207
- NPI assigned
- Dec 30, 2014
- Last updated
- Apr 19, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 008183 | NY | Primary |
Addresses
Primary practice location
1676 Sunset Ave
Utica, NY 13502-5416
Mailing address
574 Sayles St
Oneida, NY 13421-1821
Phone (315) 761-7759
Other practice location 1
2050 Tilden Ave
New Hartford, NY 13413-3613
Phone (315) 737-2437
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008183 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1861880791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "574 SAYLES ST",
"city": "ONEIDA",
"state": "NY",
"postal_code": "134211821",
"telephone_number": "315-761-7759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1676 SUNSET AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135025416",
"telephone_number": "315-624-5207"
}
],
"practiceLocations": [
{
"address_1": "2050 Tilden Ave",
"address_purpose": "LOCATION",
"city": "New Hartford",
"state": "NY",
"postal_code": "134133613",
"country_code": "US",
"telephone_number": "315-737-2437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARNEY",
"first_name": "NICOLE",
"credential": "RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-30",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.