Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Distinguished Dietitian Nutritionist PLLC

Organization Registered Dietitian · NPI 1073749297

Distinguished Dietitian Nutritionist PLLC provides Registered Dietitian services in Watertown, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

312 Sherman St
Watertown, NY 13601 Not confirmed with CMS for 10 years — call before visiting
Phone: (315) 955-9998
Fax: (315) 782-0386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 005592 (NY)

Record details

NPI number1073749297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Berry-Garnsey — President/Ceo · (315) 955-9998
Other names Feed The Soul Nutrition
NPI enumeratedJune 2, 2009
Last updated in NPPESJune 7, 2016
Mailing address312 Sherman Street, Watertown, NY 13601

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