Active NPI
Kacie Marie Cook, RD
- Registered Dietitian
- Rochester, NY
National Provider Identifier
1285820829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 979836
- Practice address
- 46 Prince St
Suite 3001
Rochester, NY 14607-1023 - Phone
- (585) 530-2050
- Fax
- (585) 530-2398
- NPI assigned
- Sep 18, 2007
- 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 | 979836 | NY | Primary |
Addresses
Primary practice location
46 Prince St
Suite 3001
Rochester, NY 14607-1023
Mailing address
5150 Fieldstone TRL
Canandaigua, NY 14424-8244
Phone (585) 412-6062
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006429 | NY | MD | Mental Health Counselor |
| 979836 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Group | Past | Accepting new patients | |
| Internal Medicine Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obesity and Weight Management Nutrition Registered Dietitian
- Rochester, NY
- NPI 1184255176
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1649220393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1285820829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 FIELDSTONE TRL",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144248244",
"telephone_number": "585-412-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 PRINCE ST",
"address_2": "SUITE 3001",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071023",
"telephone_number": "585-530-2050",
"fax_number": "585-530-2398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "KACIE",
"middle_name": "MARIE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "979836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.