SKYLER GRAY SABETPOUR RDN
NPI 1255130191
Dietitian, Registered in Camillus, NY

Active since March 12, 2025
5100 W GENESEE ST, CAMILLUS, NY 13031(315) 401-0590 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Skyler Gray Sabetpour Rdn NPPES

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

SKYLER GRAY SABETPOUR RDN (NPI 1255130191) is an individual dietitian, registered in Camillus, New York, licensed in Maryland (DX6167) and active in the NPI registry since March 2025. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1255130191
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSKYLER GRAY SABETPOURCredential: RDN
Location Address5100 W GENESEE STCamillus, NY 13031-2354
Mailing Address3302 Hudson StBaltimore, MD 21224-5137 · (469) 386-5859
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
NPI 1255130191 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 MD · DX6167
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.
5100 W GENESEE ST, Camillus, NY 13031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Skyler Gray Sabetpour Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739661570
PECOS Enrollment IDI20260302003726

Other Providers at the Same Location NPPES 8

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

Dietitian, Registered
5100 W GENESEE ST
CAMILLUS, NY 13031
Massage Therapist
5100 W GENESEE ST
CAMILLUS, NY 13031
Dietitian, Registered
5100 W GENESEE ST
CAMILLUS, NY 13031
Dietitian, Registered
5100 W GENESEE ST
CAMILLUS, NY 13031
Dietitian, Registered
5100 W GENESEE ST
CAMILLUS, NY 13031
Dietitian, Registered
5100 W GENESEE ST
CAMILLUS, NY 13031
Dietitian, Registered
5100 W GENESEE ST
CAMILLUS, NY 13031
Social Worker (Clinical)
5100 W GENESEE ST
CAMILLUS, NY 13031

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 Skyler Sabetpour's NPI number?

The NPI number for Skyler Sabetpour is 1255130191. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Where is Skyler Sabetpour located?

Skyler Sabetpour practices at 5100 W Genesee St, Camillus, NY 13031. The listed phone number is (315) 401-0590.

What is Skyler Sabetpour's specialty?

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

Is Skyler Sabetpour enrolled in Medicare?

Yes. Skyler Sabetpour is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Skyler Sabetpour was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.