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CARLY R DRAPER CDN, RD
NPI 1619290095
Dietitian, Registered in Carthage, NY

Active since March 12, 2010
1001 WEST ST, CARTHAGE, NY 13619(315) 493-1000(315) 493-0038 Get Directions Write a Review

NPPES record last updated: August 25, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carly R Draper Cdn, Rd NPPES

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

CARLY R DRAPER CDN, RD (NPI 1619290095) is an individual dietitian, registered in Carthage, New York, licensed in New York (006836) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1619290095
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCARLY R DRAPERCredential: CDN, RD
Location Address1001 WEST STCarthage, NY 13619-9703
Mailing Address1001 West StCarthage, NY 13619-9703 · (315) 519-5724 · Fax (315) 493-0105
Phone(315) 493-1000
Fax(315) 493-0038
Sole ProprietorNo
Enumeration DateMarch 12, 2010
Last NPPES UpdateAugust 25, 2017
✔ NPI 1619290095 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 · 006836
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.
1001 WEST ST, Carthage, NY 13619
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly R Draper Cdn, Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Carly Draper reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carthage Area Hospital, Inc.
0.1 mi
Obstetrics & Gynecology
117 N MECHANIC ST
Carthage, NY 13619
  • Reassigned Medicare billing, New York enrollment
  • 199 clinicians in this Medicare group
NPI 1528279817 (315) 493-3100
Wellness Physician Care PLLC
15 mi
Internal Medicine
727 WASHINGTON ST
Watertown, NY 13601
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1114979598 (315) 785-7009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MR. MICHAEL EUGENE FLAHERTY PA
Physician Assistant (Medical)
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1000
RYANN MAIER DPT
Physical Therapist
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1340
TERESA Y INTORCIA MNT
Dietitian, Registered (Nutrition, Metabolic)
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1005
DR. MICHAEL ELIJAH GORDON JR. M.D.
Anesthesiology
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1001
MRS. KATRINA LEIGH NORTZ PT
Physical Therapist
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1000
CARTHAGE AREA HOSPITAL INC
General Acute Care Hospital (Critical Access)
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-1000
CARTHAGE AREA HOSPITAL, INC
Surgery
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 493-0110
MR. CHRISTOPHER MICHAEL MCCARTNEY CRNA
Nurse Anesthetist, Certified Registered
1001 WEST ST
CARTHAGE, NY 13619
Jefferson County (315) 952-5650

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 Carly Draper's NPI number?

The NPI number for Carly Draper is 1619290095. It was assigned to this individual provider in the NPPES registry on March 12, 2010.

Where is Carly Draper located?

Carly Draper practices at 1001 West St, Carthage, NY 13619. The listed phone number is (315) 493-1000.

What is Carly Draper's specialty?

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

Is Carly Draper enrolled in Medicare?

Yes. Carly Draper is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carly Draper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Draper reassigns Medicare benefits to 2 organizations: Carthage Area Hospital, Inc. (Carthage, NY) and Wellness Physician Care PLLC (Watertown, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Draper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carly Draper was last updated on August 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.