Active NPI
Kathryn Lewis
- Registered Dietitian
- Syracuse, NY
National Provider Identifier
1194432385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007554-01
- Practice address
- 725 E Adams St
Syracuse, NY 13210-2576 - Phone
- (315) 464-5726
- NPI assigned
- Oct 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 007554-01 | NY | Primary |
Addresses
Primary practice location
725 E Adams St
Syracuse, NY 13210-2576
Mailing address
5585 Rolling Meadows Way
Camillus, NY 13031-8730
Phone (315) 729-4363
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007554-01 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1194432385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5585 ROLLING MEADOWS WAY",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130318730",
"telephone_number": "315-729-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102576",
"telephone_number": "315-464-5726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-28",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007554-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.