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 |
| 1 | 133V00000X | Dietitian, Registered | | 1066764 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 133V00000X | OTHER | NEW YORK | GHI PPO EPO |
| 2 | 133V00000X | OTHER | NEW YORK | AFFINITY |
| 3 | 133V00000X | OTHER | NEW YORK | EMPIRE MEDICARE 855R |
| 4 | 133V00000X | OTHER | NEW YORK | FIRST HEALTH GROUP |
| 5 | 133V00000X | OTHER | NEW YORK | LIBERTY HEALTH ADVANTAGE |
| 6 | 133V00000X | OTHER | NEW YORK | US DEPARTMENT OF LABOR |
| 7 | 133V00000X | OTHER | NEW YORK | VYTRA |
| 8 | TRICARE | OTHER | NEW YORK | 133V00000X |
| 9 | 133V00000X | OTHER | NEW YORK | CIGNA |
| 10 | 133V00000X | OTHER | NEW YORK | COMMUNITY CARE - UHC |
| 11 | 133V00000X | OTHER | NEW YORK | GHI MEDICARE GROUP 855R |
| 12 | 133V00000X | OTHER | NEW YORK | HEALTH PLUS - AMERIGROUP |
| 13 | 133V00000X | OTHER | NEW YORK | NYS MEDICAID ETIN |
| 14 | 133V00000X | OTHER | NEW YORK | NYS MEDICAID GROUP |
| 15 | 133V00000X | OTHER | NEW YORK | UHC EMPIRE PLAN |
| 16 | 133V00000X | OTHER | NEW YORK | HUMANA MEDICARE HMO |
| 17 | 133V00000X | OTHER | NEW YORK | EMPIRE BCBS |
| 18 | 133V00000X | OTHER | NEW YORK | NYS MEDICAID |
| 19 | 133V00000X | OTHER | NEW YORK | NYS MEDICAID ERA |
| 20 | 133V00000X | OTHER | NEW YORK | GHI |
| 21 | 133V00000X | OTHER | NEW YORK | CENTERLIGHT |
| 22 | 133V00000X | OTHER | NEW YORK | ANTHEM HEALTH PLAN |
| 23 | 133V00000X | OTHER | NEW YORK | BEECH STREET |
| 24 | 133V00000X | OTHER | NEW YORK | HEALTH FIRST |
| 25 | 133V00000X | OTHER | NEW YORK | HIP |
| 26 | 133V00000X | OTHER | NEW YORK | LOCAL 1199 |
| 27 | 133V00000X | OTHER | NEW YORK | MAGNACARE |
| 28 | 133V00000X | OTHER | NEW YORK | NEWPORT-SIGNATURE PACKET |
| 29 | 133V00000X | OTHER | NEW YORK | OXFORD |
| 30 | 133V00000X | OTHER | NEW YORK | UNITED HEALTHCARE |
| 31 | 133V00000X | OTHER | NEW YORK | CAQH |
| 32 | 133V00000X | OTHER | NEW YORK | EASY CHOICE HEALTHPLAN OF NY |
| 33 | 133V00000X | OTHER | NEW YORK | ELDERPLAN |
| 34 | 133V00000X | OTHER | NEW YORK | GHI MEDICARE 855I |
| 35 | 133V00000X | MEDICARE PIN | NEW YORK | |
| 36 | 133V00000X | OTHER | NEW YORK | ACCESS MEDICARE |
| 37 | 133V00000X | OTHER | NEW YORK | CIIPA - NSLIJHS |
| 38 | 133V00000X | OTHER | NEW YORK | PHCS |
| 39 | 133V00000X | OTHER | NEW YORK | WELLCARE OF NY |
| 40 | 133V00000X | OTHER | NEW YORK | AETNA INC |
| 41 | 133V00000X | OTHER | NEW YORK | HEALTHNET |
| 42 | 133V00000X | OTHER | NEW YORK | MULTIPLAN/PHCS |
| 43 | 133V00000X | OTHER | NEW YORK | NEWPORT CREDENTIALING |
| 44 | 133V00000X | OTHER | NEW YORK | NYS MEDICAID EFT |
| 45 | 133V00000X | OTHER | NEW YORK | RAILROAD MEDICARE |
| 46 | 133V00000X | MEDICAID | NEW YORK | |
| 47 | 133V00000X | OTHER | NEW YORK | FIDELIS |
| 48 | 133V00000X | OTHER | NEW YORK | OSCAR |
