Healthcare Provider Details

I. General information

NPI: 1821232570
Provider Name (Legal Business Name): JULIE M PARROTT PHD, M.S, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2009
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 KING POINT CIR S
OWEGO NY
13827-1146
US

IV. Provider business mailing address

10 KING POINT CIR S
OWEGO NY
13827-1146
US

V. Phone/Fax

Practice location:
  • Phone: 732-939-7147
  • Fax:
Mailing address:
  • Phone: 732-939-7147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN006515
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDT07172
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: