Active NPI
Kayla Barry, MS RD CDN
- Registered Dietitian
- Seaford, NY
National Provider Identifier
1043600554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008225-1
- Practice address
- 749 Flowerdale Dr
Seaford, NY 11783-1313 - Phone
- (516) 578-8831
- NPI assigned
- Feb 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 008225-1 | NY | Primary |
Addresses
Primary practice location
749 Flowerdale Dr
Seaford, NY 11783-1313
Mailing address
749 Flowerdale Dr
Seaford, NY 11783-1313
Phone (516) 578-8831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151217000967 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 7416258355 | Practice locations: Seaford, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008225-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1043600554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 FLOWERDALE DR",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117831313",
"telephone_number": "516-578-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 FLOWERDALE DR",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117831313",
"telephone_number": "516-578-8831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "KAYLA",
"credential": "MS RD CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008225-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seaford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.