1. Home
  2. Directory
  3. New York
  4. Norwich
  5. Dietitian Registered
  6. NPI Profile

NICOLE WAKE M.S., R.D.
NPI 1073990362
Dietitian, Registered in Norwich, NY

Active since May 06, 2015
179 N BROAD ST, NORWICH, NY 13815(607) 337-4812(607) 337-4198 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Wake M.s., R.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE WAKE M.S., R.D. (NPI 1073990362) is an individual dietitian, registered in Norwich, New York, licensed in New York (1019080) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1073990362
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameNICOLE WAKECredential: M.S., R.D.
Location Address179 N BROAD STNorwich, NY 13815-1019
Mailing Address145 Co Rd 32aNorwich, NY 13815 · (607) 373-7410 · Fax (607) 337-4198
Phone(607) 337-4812
Fax(607) 337-4198
Sole ProprietorYes
Enumeration DateMay 6, 2015
Last NPPES UpdateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
✔ NPI 1073990362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 1019080
Definition
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.
179 N BROAD ST, Norwich, NY 13815
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROFESSIONAL HOME CARE, INC.
Durable Medical Equipment & Medical Supplies
179 N BROAD ST
NORWICH, NY 13815
Chenango County (607) 336-5130
KENDALL SABER FNP
Nurse Practitioner (Family)
179 N BROAD ST
NORWICH, NY 13815
Chenango County (607) 337-4040
CHENANGO MEMORIAL HOSPITAL, INC
Skilled Nursing Facility
179 N BROAD ST
NORWICH, NY 13815
Chenango County (607) 337-4111
VLADIMIR F. BRESLAU DO, PHD
Obstetrics & Gynecology
179 N BROAD ST
NORWICH, NY 13815
Chenango County (607) 337-4218
DELF O KING MD PC
Anesthesiology
179 N BROAD ST, CHENANGO MEMORIAL HOSPITAL
NORWICH, NY 13815
Chenango County (607) 337-4111
MRS. CARRIEANNE PISANI PA
Physician Assistant
179 N BROAD ST
NORWICH, NY 13815
Chenango County (607) 843-9816
MS. COLETTE JOHNSON PA
Physician Assistant
179 N BROAD ST
NORWICH, NY 13815
Chenango County (607) 337-4111
DR. ANNA MARIE WARD MD
Family Medicine
179 N BROAD ST
NORWICH, NY 13815
Chenango County (607) 337-4040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Wake's NPI number?

The NPI number for Nicole Wake is 1073990362. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Nicole Wake located?

Nicole Wake practices at 179 N Broad St, Norwich, NY 13815. The listed phone number is (607) 337-4812.

What is Nicole Wake's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Nicole Wake was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.