Active NPI
Kristen Criscitelli, RD, CDN
- Registered Dietitian
- New Rochelle, NY
National Provider Identifier
1043664568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 8344060
- Practice address
- 29 Guion Place
New Rochelle, NY 10801 - Phone
- (914) 365-4022
- NPI assigned
- Apr 21, 2016
- 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 | 8344060 | NY | Primary |
Addresses
Primary practice location
29 Guion Place
New Rochelle, NY 10801
Mailing address
21208 16TH Ave
Bayside, NY 11360-1525
Phone (516) 353-9873
Other names 1
- Kristen Sottile
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8344060 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1043664568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21208 16TH AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601525",
"telephone_number": "516-353-9873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 GUION PLACE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "10801",
"telephone_number": "914-365-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISCITELLI",
"first_name": "KRISTEN",
"credential": "RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "8344060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "SOTTILE",
"credential": "RD, CDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.