Organization Active NPI

Your Health Your Choice

  • Registered Dietitian
  • Camillus, NY
National Provider Identifier
1891941787
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005758 Issued in NY
Legal business name
YOUR HEALTH YOUR CHOICE
Practice address
5016 W Genesee St
Camillus, NY 13031-2326
Phone
(315) 736-2080
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Rebecca Boyea
Title
Registered Dietician
Phone
(315) 345-6803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 005758 NY Primary

Addresses

Primary practice location

5016 W Genesee St
Camillus, NY 13031-2326

Mailing address

5016 W Genesee St
Camillus, NY 13031-2326

National Provider Directory

National Provider Directory

Locations

5016 W Genesee St
Camillus, NY 13031
Phone (315) 320-7900

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1891941787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312326",
            "telephone_number": "315-736-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH YOUR CHOICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "BOYEA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "REGISTERED DIETICIAN",
        "authorized_official_telephone_number": "315-345-6803"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.