National Provider Identifier

Carly J Hansen, RDN

Carly J Hansen, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Niagara Falls, NY and a listed phone number of (315) 710-0080.

NPI 1356913974Niagara Falls, NYRegistered Dietitian

Profile Overview

NPI
1356913974
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
July 13, 2021
Last Updated
January 30, 2026

Practice Location

  • 1 Colomba Dr Ste 2
  • Niagara Falls, NY 14305-1275

Phone: (315) 710-0080

Specialties

  • Registered Dietitian (133V00000X)
  • Lactation Consultant (Non-RN) (174N00000X)
Full Record
NPI
1356913974
Entity Type
Individual
Last Name
Hansen
First Name
Carly
Middle Name
J
Credential
RDN
Mailing Street Address
1 Colomba Dr Ste 2
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14305-1275
Mailing Country
US
Practice Street Address
1 Colomba Dr Ste 2
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14305-1275
Practice Country
US
Practice Phone
(315) 710-0080
Enumeration Date
July 13, 2021
Last Updated
January 30, 2026
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 2
193200000X Multi-Specialty Group
Certification Date
January 30, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X), Lactation Consultant (Non-RN) (174N00000X)