Kristina Freshour, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86151636 Issued in NY

Practice address

5 Wyndover Woods LN Apt 1
White Plains, NY 10603-3155

Phone

(631) 338-8760

NPI assigned

May 21, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• TX HMO
• Healthfirst Medicare Network H5989
• TX HMO D-SNP
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: khartman310087@northwell.direct-ci.com

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.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1013655976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 STATE ST STE OFFICE40",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WYNDOVER WOODS LN APT 1",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033155",
            "telephone_number": "631-338-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESHOUR",
        "first_name": "KRISTINA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86151636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PracticeBetter.io",
            "affiliation": "N",
            "endpointDescription": "Practice Better is a HIPAA-Compliant app/portal where the provider and client communicate. Private health information can be exchanged and uploaded. This app is specifically designed for dietitians and nutrition professionals.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5 Wyndover Woods Ln Apt 1",
            "city": "White Plains",
            "state": "NY",
            "country_code": "US",
            "postal_code": "106033155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Fredrick
• Sharon M Freedberg, DSW MSW LCSW
• Richard G Freeman, MD
• Clint Frehill
• Alessandrina Marie Freitas, M.D.
• Philip Fried, MD
• Stanley Burt Friedland, PH.D.
• Robert Friedlander
• Alexandra L Friedman, DO
• Emily Friedman, LCSW

• Registered Dietitian in White Plains, NY
• Providers in White Plains, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.