Nicole Kmicinski, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

824056 Issued in NY

Practice address

742 Delaware Ave
Buffalo, NY 14209-2202

Phone

(716) 431-5100

NPI assigned

May 18, 2015

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Western New York Integrated Care Collaborative, Inc.

  • Registered Dietitian
  • Buffalo, NY
  • NPI 1881101954
  Medicare reassignment
• Western New York Integrated Care Collaborative

  • Case Management Agency
  • Buffalo, NY
  • NPI 1316778152
  Authorized official Same address or phone
• Western New York Integrated Care Collaborative, Inc.

  • Health Educator
  • Buffalo, NY
  • NPI 1447131545
  Authorized official Same address or phone
• Western New York Integrated Care Collaborative, Inc.

  • Health Educator
  • Buffalo, NY
  • NPI 1518574060
  Authorized official Same address or phone

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1093193468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092202",
            "telephone_number": "716-431-5100",
            "fax_number": "844-620-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092202",
            "telephone_number": "716-431-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KMICINSKI",
        "first_name": "NICOLE",
        "credential": "RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "824056",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle K Klossner, LCSW
• Kevin J Klostermann, PA
• Tatiana Kluckhohn
• Taylor Klun
• Kasey Kmicinski, PHARMD
• Michele Kmitch
• Ann Marie Knaisch
• Peter Knauber
• Sunni R Kneeland, ANP
• Natalie J Kney, CRNA

• Registered Dietitian in Buffalo, NY
• Providers in Buffalo, 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 Jul 6, 2023; 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.