Audrey Marcoux, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000901 Issued in NY

Practice address

10708 N Gage Rd
Barneveld, NY 13304-2527

Phone

(315) 896-2654

Fax

(315) 896-2717

NPI assigned

Apr 12, 2016

Last updated

Apr 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1932563368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MARY ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011930",
            "telephone_number": "315-724-6907",
            "fax_number": "315-733-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10708 N GAGE RD",
            "city": "BARNEVELD",
            "state": "NY",
            "postal_code": "133042527",
            "telephone_number": "315-896-2654",
            "fax_number": "315-896-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOUX",
        "first_name": "AUDREY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "000901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "000901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Maly Barneveld Physical Therapy, PC
• Daryl Kasprowicz
• Gyasi Kodua, MD
• Lenore Lampert, FNP
• Katherine Nicole Leroy, RDN
• Madison Marie Merrill, M.S. ED.
• Eden Morgan, DPT
• John D Murphy IV, PT
• Justin M Murray, P.T.
• Benjamin W Neal, DPT

• Registered Dietitian in Barneveld, NY
• Providers in Barneveld, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.