IndividualActive
Nicole Wake, M.S., R.D.
NPI 1073990362 · Registered Dietitian · Norwich, NY
Nicole Wake, M.S., R.D. is a Registered Dietitian provider in Norwich, NY (NPI 1073990362).
Provider details
- NPI number
- 1073990362
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- M.S., R.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1019080 (NY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
179 N Broad St
Norwich, NY 13815-1019
Phone: (607) 337-4812
Fax: (607) 337-4198
Street-level locationGet directions
Mailing address
145 Co Rd 32a
Norwich, NY 13815
Registry dates
- Enumerated
- 2015-05-06
- Last updated
- 2020-07-01
- Certified
- 2020-07-01
Frequently asked questions
- What is Nicole Wake's NPI number?
- Nicole Wake's National Provider Identifier (NPI) is 1073990362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Wake's specialty?
- Nicole Wake is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Nicole Wake located?
- Nicole Wake's practice location on file with NPPES is 179 N Broad St, Norwich, NY 13815-1019.
- What is Nicole Wake's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wake is (607) 337-4812.
- Is Nicole Wake's NPI active?
- Yes — Nicole Wake's NPI (1073990362) is active in the NPPES registry as of the last update on 2020-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.