Individual provider Active NPI

Kayla Morgiewicz, RDN, CDN

  • Registered Dietitian
  • Port Jervis, NY
National Provider Identifier
1073277141
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86015333
Practice address
6 Green Briar Rd
Port Jervis, NY 12771-3120
Phone
(845) 248-4674
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 009456 NY
Registered Dietitian 133V00000X 86015333 Primary

Addresses

Primary practice location

6 Green Briar Rd
Port Jervis, NY 12771-3120

Mailing address

6 Green Briar Rd
Port Jervis, NY 12771-3120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IL, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230222000606 GA Practitioner - Registered Dietitian Or Nutrition Professional 7911370911 Reassigns benefits to 1 organization
I20230309002585 IL Practitioner - Registered Dietitian Or Nutrition Professional 7911370911 Reassigns benefits to 1 organization
I20230501002567 AZ Practitioner - Registered Dietitian Or Nutrition Professional 7911370911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical Group of Illinois PLLCGroup PAC ID 3274446596, 129 clinicians

Practice addresses (Care Compare)

2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561

Merit-based Incentive Payment System (MIPS)

Final score
78.52 of 100Reported as group
Quality
66.08
Promoting interoperability
100
Improvement activities
40
Cost
58.3

Merit-based Incentive Payment System (MIPS)

Final score
86.5 of 100Reported as group
Quality
74.24
Promoting interoperability
100
Improvement activities
40
Cost
66.56

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
Quality
63.81
Promoting interoperability
100
Improvement activities
40
Cost
57.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009456NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Illinois PLLC CurrentSince Jan 30, 2023 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Feb 7, 2023 Accepting new patients
City of Hope Medical Group of Arizona LLC CurrentSince Feb 23, 2023 Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

62742 Collections Ctr Dr
Chicago, IL 60693

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

Organizations & group practices 3

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1073277141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GREEN BRIAR RD",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127713120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GREEN BRIAR RD",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127713120",
            "telephone_number": "845-248-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGIEWICZ",
        "first_name": "KAYLA",
        "credential": "RDN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009456",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86015333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.