Individual provider · NPI-1

Jade Agresta

Dietitian, Registered · Albany, NY

NPI number1366033896
StatusActive
Last updated in NPPESNov 27, 2025

Details

NPI
1366033896
Entity type
Individual (NPI-1)
Name
Jade Agresta
Sex
Female
Sole proprietor
No
Enumeration date
Jan 28, 2021
Certification date
Nov 27, 2025
Last updated
Nov 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered007468NYYes
101YM0800X Counselor, Mental Health13907NY

Practice location

113 Holland Ave
Albany, NY 12208-3410

Phone 518-626-6882

Mailing address

113 Holland Ave
Albany, NY 12208-3410

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dietitian, Registered providers in Albany, NY