Katelynn Faith Prendergast, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2780 Delaware Ave Ste 2790
Kenmore, NY 14217-2748

Phone

(716) 931-9037

NPI assigned

Oct 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Katelynn Faith Arndt Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912

  Single Specialty

  Medicare reassignment NPD
• State of New York Comptrollers Office

  • Physical Therapist
  • Albany, NY
  • NPI 1346710985
  NPD

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1043787104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9568 DARIEN RD",
            "city": "WEST FALLS",
            "state": "NY",
            "postal_code": "141709611",
            "telephone_number": "702-533-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 DELAWARE AVE STE 2790",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172748",
            "telephone_number": "716-931-9037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Pineview Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142282121",
            "country_code": "US",
            "telephone_number": "702-533-0217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRENDERGAST",
        "first_name": "KATELYNN",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYNN",
            "last_name": "ARNDT",
            "middle_name": "FAITH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Podiatry Surgeon of Wny PC
• Michelle Poudy, OTR/L
• Robert J Powalski Jr., MD
• Felicia Powell, MS,OTR/L
• Kevin Noble Powers
• Pro2 LLC
• Matthew Profeta, PT
• Dominique Latoya Prophet, COTA
• Kaylee Jo Przybysz
• David Anthony Przynosch, AUD

• Registered Dietitian in Kenmore, NY
• Providers in Kenmore, 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 Oct 31, 2024; 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.

Verify at the official NPI Registry.