THOMAS C. PETRIE, C.D.N.
NPI 1396138871
Point of Service in Ballston Spa, NY

Active since March 09, 2015
20 WASHINGTON ST, BALLSTON SPA, NY 12020(518) 879-5877 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Thomas C. Petrie, C.d.n. NPPES

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

THOMAS C. PETRIE, C.D.N. (NPI 1396138871) is a healthcare organization registered as a point of service in Ballston Spa, New York and active in the NPI registry since March 2015. The organization lists Thomas Charles Petrie, Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1396138871
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameTHOMAS C. PETRIE, C.D.N.
Location Address20 WASHINGTON STBallston Spa, NY 12020-1761
Mailing Address110 Brookline Rd, Apt. B-11Ballston Spa, NY 12020-3527 · (518) 879-5877
Organization SubpartNo
Authorized OfficialThomas Charles PetrieNutritionist · (518) 490-1720
Enumeration DateMarch 9, 2015
NPI 1396138871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License Licensed in NY · 003560
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
20 WASHINGTON ST, Ballston Spa, NY 12020

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 Thomas C. Petrie, C.D.N.'s NPI number?

The NPI number for Thomas C. Petrie, C.D.N. is 1396138871. It was assigned to this organization in the NPPES registry on March 9, 2015.

Where is Thomas C. Petrie, C.D.N. located?

Thomas C. Petrie, C.D.N. is located at 20 Washington St, Ballston Spa, NY 12020. The listed phone number is (518) 879-5877.

What is Thomas C. Petrie, C.D.N.'s specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Thomas C. Petrie, C.D.N. was last updated on March 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.