Active NPI
Carly J Hansen, RDN
- Registered Dietitian
- Niagara Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1 Colomba Dr Ste 2
Niagara Falls, NY 14305-1275 - Phone
- (315) 710-0080
- NPI assigned
- Jul 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-305402 | NY | |
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1 Colomba Dr Ste 2
Niagara Falls, NY 14305-1275
Mailing address
1 Colomba Dr Ste 2
Niagara Falls, NY 14305-1275
Other practice location 1
1326 New Seneca Tpke
Skaneateles, NY 13152-8888
Phone (315) 710-0080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10195 Niagara Falls Blvd
Suite 100
Niagara Falls, NY 14304-2941
Phone (716) 250-9999
3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999
7 Onondaga St
Skaneateles, NY 13152-1313
Phone (315) 730-4459
8750 Transit Rd
East Amherst, NY 14051-2610
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.79 of 100
- Quality
- 89.94
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 82.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-305402 | NY | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Orthopaedics LLP | Multi-Specialty | Current | Accepting new patients |
| Excelsior Orthopaedics, LLP | Multi-Specialty | Current | Accepting new patients |
| Kelly'S Choice, LLC | Dietitian, Registered | Current | Accepting new patients |
| Kelly Springer Dietitian Nutritionist PLLC | Dietitian, Registered | Past | Accepting new patients |
| United Nutrition & Dietetics, PLLC | Dietitian, Registered | Past | Accepting new patients |
Locations
3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500
8750 Transit Rd
Ste 105
East Amherst, NY 14051
Phone (716) 636-1470
1 Colomba Dr
Ste 2
Niagara Falls, NY 14305
Phone (716) 285-3464
Interoperability endpoints
- chansen@excelsiorortho.medentdirect.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1003058462
Multi-Specialty
-
- Registered Dietitian
- Skaneateles, NY
- NPI 1205710720
Dietitian, Registered
-
- Registered Dietitian
- Grand Island, NY
- NPI 1932881372
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1356913974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COLOMBA DR STE 2",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143051275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COLOMBA DR STE 2",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143051275",
"telephone_number": "315-710-0080"
}
],
"practiceLocations": [
{
"address_1": "1326 New Seneca Tpke",
"address_purpose": "LOCATION",
"city": "Skaneateles",
"state": "NY",
"postal_code": "131528888",
"country_code": "US",
"telephone_number": "315-710-0080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "CARLY",
"middle_name": "J",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-13",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NY",
"license": "L-305402",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.