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Active NPI 1770171191 Individual Practitioner Female Practitioner

Brooke Ann Marie Decelles , MS, RD, CDN

Dietitian, Registered • Potsdam, NY

Professional Overview & Biography Verified Profile Summary

Brooke Decelles, MS, RD, CDN is a registered healthcare professional specializing in Dietitian, Registered in Potsdam, NY. Practice services are available at 200 MARKET STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Market Street
Ste 5 Pmb 112

Potsdam, NY 136761217

Telephone 3155284711
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Potsdam, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Potsdam, NY (4786 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-08
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License NY 010313-01

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License NY 01031301

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License PA DN007980

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.

Secondary Practice Locations

10 Main Street

Waddington, NY 13694

Phone: 3155284711

55 Union Place, Pmb 260

Summit, NJ 079012563

Phone: 3155284711

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 15, 2024

Registered at 200 MARKET STREET, STE 5 PMB 112, POTSDAM, NY 136761217 (Tel: 3155284711)

📍
Updated Business Mailing Address August 15, 2024

Registered at 200 MARKET STREET, STE 5 PMB 112, POTSDAM, NY 136761217 (Tel: 3155284711)

👤
Provider Name / Credentials Updated August 15, 2024

Recorded as BROOKE DECELLES, MS, RD, CDN

NPI Profile Active January 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2021

Registered at 4801 JOYCE PL, LIVERPOOL, NY 130906911 (Tel: 3155284711)

📍
Updated Business Mailing Address January 03, 2021

Registered at 4801 JOYCE PL, LIVERPOOL, NY 130906911 (Tel: 3155284711)

👤
Provider Name / Credentials Updated January 03, 2021

Recorded as BROOKE BRISCOE, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2021

Dietitian, Registered (License #01031301 in NY)

🟢
Initial NPI Registration & Enumeration January 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1770171191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2021
Last Update: August 15, 2024
Sole Proprietor: Yes

Mailing Address

200 Market Street, Ste 5 Pmb 112

Potsdam, NY 136761217

Phone: 3155284711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.