Individual provider Active NPI

Kristina D. Thomopoulos Titomihelakis, MS, RDN, CDN, CPT

  • Registered Dietitian
  • Huntington, NY
National Provider Identifier
1346938974
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86131520 Issued in NY
Practice address
44 Green St Ste 2
Huntington, NY 11743-3393
Phone
(516) 206-2058
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 86131520 NY Primary

Addresses

Primary practice location

44 Green St Ste 2
Huntington, NY 11743-3393

Mailing address

215 E 96TH St # 31D
New York, NY 10128-3835

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86131520NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Leah Mark Integrative Nutrition PLLC Dietitian, Registered CurrentSince May 7, 2023 Accepting new patients

Locations

44 Green St
Ste 2
Huntington, NY 11743
Phone (516) 206-2058

Organizations & group practices 1

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1346938974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 96TH ST # 31D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 GREEN ST STE 2",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433393",
            "telephone_number": "516-206-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMOPOULOS TITOMIHELAKIS",
        "first_name": "KRISTINA",
        "middle_name": "D.",
        "credential": "MS, RDN, CDN, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86131520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.