Individual provider Active NPI

Kimberly Sue Greiner, RD, CDE

  • Registered Dietitian
  • Dunkirk, NY
National Provider Identifier
1174761977
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
005840-1 Issued in NY
Practice address
809 Central Ave
Dunkirk, NY 14048-3305
Phone
(716) 366-1298
NPI assigned
Feb 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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 005840-1 NY Primary

Addresses

Primary practice location

809 Central Ave
Dunkirk, NY 14048-3305

Mailing address

4624 Anderson Dr
Bemus Point, NY 14712-9518
Phone (716) 386-3905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140829001639 NY Practitioner - Registered Dietitian Or Nutrition Professional 9830159532 Reassigns benefits to 1 organization
Practice locations: Dunkirk, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005840-1NYMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
BSH Health PA Dietitian, Registered CurrentSince Feb 1, 2026 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients
Westfield Memorial Hospital, Inc. Past Accepting new patients

Locations

19 W 24th St
Fl 4
New York, NY 10010
Phone (646) 844-2332

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": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1174761977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 ANDERSON DR",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129518",
            "telephone_number": "716-386-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140483305",
            "telephone_number": "716-366-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREINER",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005840-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.