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NICOLE ROSE PETROCELLI R.D. NPI 1568839421


NPI Information

NPI: 1568839421
Provider Name: NICOLE ROSE PETROCELLI, R.D.
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
24 HERITAGE LN N
MILLER PLACE, NY
ZIP 11764
Phone: (631) 327-7934
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Nicole Rose Petrocelli, R.D. is a dietitian registered in Miller Place, NY. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Nicole Rose Petrocelli, R.D. NPI is 1568839421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24 HERITAGE LN N
MILLER PLACE, NY
ZIP 11764-316
Phone: (631) 327-7934

The enumeration date for this NPI number is 8/27/2015 and was last updated on 8/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1006XDietitian, RegisteredNutrition, Metabolic1057815NEW YORKNo
2133VN1004XDietitian, RegisteredNutrition, Pediatric1057815NEW YORKNo
3133VN1005XDietitian, RegisteredNutrition, Renal1057815NEW YORKNo
4133N00000XNutritionist1057815NEW YORKNo
5133NN1002XNutritionistNutrition, Education1057815NEW YORKNo
6133V00000XDietitian, Registered1057815NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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