Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Indigenous Nutritionist

Organization Registered Dietitian · NPI 1962870436

Indigenous Nutritionist is a Registered Dietitian in New York, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

538 E 85th St 5B
New York, NY 10028-7447
Phone: (207) 344-7115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 48007672 (NY)

Record details

NPI number1962870436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Ahearn — Owner · (207) 344-7115
NPI enumeratedSeptember 14, 2015
Last updated in NPPESSeptember 14, 2015
Mailing address538 E 85th St, 5b, New York, NY 10028-7447

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