Active NPI
Anne E McIlhenny, MS, RD, CDE
- Registered Dietitian
- Malone, NY
National Provider Identifier
1922214329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002528-1
- Practice address
- 133 Park St
Malone, NY 12953-1220 - Phone
- (518) 483-3000
- Fax
- (518) 481-2695
- NPI assigned
- May 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 002528-1 | NY | Primary |
Addresses
Primary practice location
133 Park St
Malone, NY 12953-1220
Mailing address
133 Park St
Malone, NY 12953-1220
Phone (518) 483-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD0114 | Other | NY | ALICE HYDE MEDICAL CENTER |
| 00832652 | Other | AMERICAN DIETETIC ASSN # | |
| 002528-1 | Other | NY | NYS REGISTRATION CERTIFIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002528-1 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Alice Hyde Medical Center | 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.
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228348800000",
"number": "1922214329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 PARK ST",
"city": "MALONE",
"state": "NY",
"postal_code": "129531220",
"telephone_number": "518-483-3000",
"fax_number": "518-481-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 PARK ST",
"city": "MALONE",
"state": "NY",
"postal_code": "129531220",
"telephone_number": "518-483-3000",
"fax_number": "518-481-2695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCILHENNY",
"first_name": "ANNE",
"middle_name": "E",
"credential": "MS, RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "002528-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALICE HYDE MEDICAL CENTER",
"identifier": "DD0114",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN DIETETIC ASSN #",
"identifier": "00832652",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS REGISTRATION CERTIFIC",
"identifier": "002528-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.