Individual provider Active NPI

Kirstin L. Grant, R.D., C.D.E.

  • Registered Dietitian
  • Granite Springs, NY
National Provider Identifier
1093060378
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005008-1 Issued in NY
Practice address
131 Bonnie Brae CT
Granite Springs, NY 10527-1022
Phone
(914) 419-0425
NPI assigned
Jul 23, 2012
Last updated
Jul 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 005008-1 NY Primary

Addresses

Primary practice location

131 Bonnie Brae CT
Granite Springs, NY 10527-1022

Mailing address

131 Bonnie Brae CT
Granite Springs, NY 10527-1022
Phone (914) 419-0425

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
005008-1NYMDRegistered Dietitian
005008NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Health Group,LLP CurrentSince Sep 1, 2012 Accepting new patients
New York University Past Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Locations

575 Hudson Valley Ave
Ste 100
New Windsor, NY 12553
Phone (845) 565-9800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1093060378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BONNIE BRAE CT",
            "city": "GRANITE SPRINGS",
            "state": "NY",
            "postal_code": "105271022",
            "telephone_number": "914-419-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BONNIE BRAE CT",
            "city": "GRANITE SPRINGS",
            "state": "NY",
            "postal_code": "105271022",
            "telephone_number": "914-419-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KIRSTIN",
        "middle_name": "L.",
        "credential": "R.D., C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005008-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.