What is Andrea Wotan's NPI number?

Andrea Wotan's National Provider Identifier (NPI) is 1760096523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Andrea Wotan's specialty?

Andrea Wotan is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Andrea Wotan located?

Andrea Wotan's practice location on file with NPPES is 17 Juneberry Ln, Liverpool, NY 13090-3016.

What is Andrea Wotan's phone number?

The practice phone number listed in the NPPES registry for Andrea Wotan is (734) 263-7374.

Is Andrea Wotan's NPI active?

Yes — Andrea Wotan's NPI (1760096523) is active in the NPPES registry as of the last update on 2025-11-17.

IndividualActive

Andrea Wotan, RD

NPI 1760096523 · Registered Dietitian · Liverpool, NY

Andrea Wotan, RD is a Registered Dietitian provider in Liverpool, NY (NPI 1760096523).

Provider details

NPI number: 1760096523
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Credential: RD
Sex: Female
Sole proprietor: Yes
License: 86109809 (MI)

Specialties & taxonomies

Registered DietitianPrimary133V00000XLicense 86109809 (MI)
Dietary & Nutritional Service Providers

Profile Score

Established profile(63/100 index)

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
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

17 Juneberry Ln

Liverpool, NY 13090-3016

Phone: (734) 263-7374

Street-level locationGet directions

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Mailing address