JESSICA SNYDER RDN
NPI 1154809663
Dietitian, Registered in Tupper Lake, NY

Active since August 06, 2018
114 WAWBEEK AVE, TUPPER LAKE, NY 12986(518) 897-8859 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 3, 2020, Aug 6, 2018 (2 updates tracked since 2018).

  • Individual
  • Female
  • Dietitian, Registered

About JESSICA SNYDER

This page provides the complete NPI Profile along with additional information for Jessica Snyder, a provider established in Tupper Lake, New York with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1154809663 assigned on August 2018. The practitioner's primary taxonomy code is 133V00000X with license number 1102871 (). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1154809663 Verify this NPI
Provider Name
JESSICA SNYDER RDN
Other Name
JESSICA HUCKE DTR
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
114 WAWBEEK AVE TUPPER LAKE, NY 12986
Location Phone
(518) 897-8859
Mailing Address
114 WAWBEEK AVE TUPPER LAKE, NY 12986
Mailing Phone
(518) 897-8859
Is Sole Proprietor?
Yes
Enumeration Date
08-06-2018
Last Update Date
11-03-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
1102871
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1136A00000XDietary & Nutritional Service Providers

Dietetic Technician, Registered

 

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Skilled Nursing Facility
114 WAWBEEK AVE
TUPPER LAKE, NY 12986
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
114 WAWBEEK AVE
TUPPER LAKE, NY 12986
Skilled Nursing Facility
114 WAWBEEK AVE
TUPPER LAKE, NY 12986
Skilled Nursing Facility
114 WAWBEEK AVE
TUPPER LAKE, NY 12986
Physical Therapy Assistant
114 WAWBEEK AVE
TUPPER LAKE, NY 12986

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154809663, enumerated as an "individual" on August 06, 2018.

The provider is located at 114 WAWBEEK AVE TUPPER LAKE, NY 12986 and the phone number is (518) 897-8859.

Dietitian, Registered with taxonomy code 133V00000X.