Provider Demographics
NPI:1134294168
Name:JAMES, JANICE ALTHEA (MS, RD, LDN, CDE)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:ALTHEA
Last Name:JAMES
Suffix:
Gender:F
Credentials:MS, RD, LDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5978 AUGUSTINE AVE
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5317
Mailing Address - Country:US
Mailing Address - Phone:347-276-5427
Mailing Address - Fax:
Practice Address - Street 1:233 STERLING ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-4112
Practice Address - Country:US
Practice Address - Phone:718-467-0364
Practice Address - Fax:718-467-0364
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2019-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3992133V00000X
NY003635133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP50857Medicare ID - Type UnspecifiedNUTRITION