Dietitians of Northern New York, PLLC.
NPI 1316515208 · Registered Dietitian · Watertown, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dietitians of Northern New York, PLLC. is a Registered Dietitian organization in Watertown, NY (NPI 1316515208).
Provider details
- NPI number
- 1316515208
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Etosha Farmer, Owner(315) 221-4881
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Dietitians of Northern New York
- Doing business as
- Dietitians of Northern New York
Additional practice locations (1)
- 5402 Dayan StLowville, NY 13367-1100Phone: (315) 221-4881
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2022-11-21
- Certified
- 2022-11-21
Frequently asked questions
- What is Dietitians of Northern New York, PLLC.'s NPI number?
- Dietitians of Northern New York, PLLC.'s National Provider Identifier (NPI) is 1316515208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dietitians of Northern New York, PLLC.?
- Dietitians of Northern New York, PLLC. is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Dietitians of Northern New York, PLLC. located?
- Dietitians of Northern New York, PLLC.'s practice location on file with NPPES is 415 Sherman St, Watertown, NY 13601-3920.
- What is Dietitians of Northern New York, PLLC.'s phone number?
- The practice phone number listed in the NPPES registry for Dietitians of Northern New York, PLLC. is (315) 221-4881.
- Does Dietitians of Northern New York, PLLC. accept Medicare?
- Dietitians of Northern New York, PLLC. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dietitians of Northern New York, PLLC.?
- The authorized official listed on Dietitians of Northern New York, PLLC.'s NPPES record is Etosha Farmer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dietitians of Northern New York, PLLC.'s NPI active?
- Yes — Dietitians of Northern New York, PLLC.'s NPI (1316515208) is active in the NPPES registry as of the last update on 2022-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.