Active NPI
Kristi Garzo, MS, RDN, CDN, CLC
- Registered Dietitian
- Vestal, NY
National Provider Identifier
1003570250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00886901
- Practice address
- 3101 Shippers Rd Ste 203
Vestal, NY 13850-2082 - Phone
- (607) 251-2105
- Fax
- (607) 251-2010
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00886901 | NY | Primary |
Addresses
Primary practice location
3101 Shippers Rd Ste 203
Vestal, NY 13850-2082
Mailing address
169 Riverside Dr
Binghamton, NY 13905-4198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00886901 | NY | MD | Registered Dietitian |
| 008869 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital Inc. | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients | |
| Twin Tier Pathology Associates, PC | Current | Accepting new patients |
Locations
169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
500 5th Ave
Owego, NY 13827
Phone (607) 687-1122
3101 Shippers Rd
Ste 203
Vestal, NY 13850
Phone (607) 786-4822
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Family Medicine Physician
- Binghamton, NY
- NPI 1063557189
-
- Specialty Pharmacy
- Johnson City, NY
- NPI 1730982596
-
- Clinical Pathology/Laboratory Medicine Physician
- Binghamton, NY
- NPI 1770577470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1003570250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 RIVERSIDE DR",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 SHIPPERS RD STE 203",
"city": "VESTAL",
"state": "NY",
"postal_code": "138502082",
"telephone_number": "607-251-2105",
"fax_number": "607-251-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZO",
"first_name": "KRISTI",
"credential": "MS, RDN, CDN, CLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "00886901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.