Organization Active NPI

Nourished With Emily LLC

  • Registered Dietitian
  • East Syracuse, NY
National Provider Identifier
1902526239
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NOURISHED WITH EMILY LLC
Practice address
416 Tilden Dr
East Syracuse, NY 13057-1436
Phone
(315) 552-8811
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Emily GozyNPI 1205399904
Title
Ceo, Founder, and Lead Dietitian
Phone
(315) 552-8811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

416 Tilden Dr
East Syracuse, NY 13057-1436

Mailing address

7647 Great Muskrat
Liverpool, NY 13090-3605
Phone (315) 552-8811

Other identifiers 1

IdentifierTypeStateIssuer
1205399904Other1

Other names 1

  • Nourished with Emily, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1902526239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7647 GREAT MUSKRAT",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903605",
            "telephone_number": "315-552-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 TILDEN DR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571436",
            "telephone_number": "315-552-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED WITH EMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "GOZY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CEO, FOUNDER, AND LEAD DIETITIAN",
        "authorized_official_telephone_number": "315-552-8811"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "1205399904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nourished with Emily, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Nourished with Emily, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.