Brooke Ann Marie Decelles, MS, RD, CDN

Registered Dietitian · Potsdam, NY

Individual Active NPI

NPI number 1770171191

Practice location

200 Market Street
Ste 5 PMB 112
Potsdam, NY 13676-1217
Phone
(315) 528-4711

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NPI record

NPI
1770171191
Entity type
Individual (Type 1)
Enumeration date
January 3, 2021
Last updated
August 15, 2024
Certified
August 8, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 010313-01 NY
Registered Dietitian 133V00000X 01031301 NY
Registered Dietitian 133V00000X DN007980 PA

Other practice locations (2)

  • 10 Main Street, Waddington, NY 13694 · (315) 528-4711
  • 55 Union Place, PMB 260, Summit, NJ 07901-2563 · (315) 528-4711

About Brooke Decelles

Brooke Ann Marie Decelles, MS, RD, CDN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 200 Market Street, Ste 5 PMB 112, Potsdam, NY 13676-1217. The NPI number 1770171191 was assigned on January 3, 2021 and the record was last updated on August 15, 2024.

Brooke Decelles lists 3 licenses in the registry: #010313-01 (NY) for Registered Dietitian; #01031301 (NY) for Registered Dietitian; #DN007980 (PA) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brooke Ann Marie Decelles, MS, RD, CDN?

The NPI number is 1770171191.

What is the phone number of Brooke Decelles?

The phone number listed for the practice location is (315) 528-4711.

Where is Brooke Decelles located?

200 Market Street, Ste 5 PMB 112, Potsdam, NY 13676-1217.

What is the taxonomy code for Brooke Decelles?

The primary taxonomy code is 133V00000X – Registered Dietitian; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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