Individual provider Active NPI

Kathryn Elise Candeloro, RD

  • Registered Dietitian
  • Albany, NY
National Provider Identifier
1396469573
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
009285-01 Issued in NY
Practice address
7 Southwoods Blvd
Albany, NY 12211-2564
Phone
(518) 262-6000
NPI assigned
Sep 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86043891 NY
Registered Dietitian 133V00000X 009285-01 NY Primary

Addresses

Primary practice location

7 Southwoods Blvd
Albany, NY 12211-2564

Mailing address

7 Southwoods Blvd
Albany, NY 12211-2564
Phone (518) 262-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626000829 NY Practitioner - Registered Dietitian Or Nutrition Professional 7719345693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Lynn Nutrition PLLCGroup PAC ID 3072045947, 19 clinicians

Practice addresses (Care Compare)

5100 W Genesee St
Camillus, NY 13031-2354
Phone (315) 401-0590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009285NYMDPsychologist
009285-01NYMDRegistered Dietitian
86043891NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Lynn Nutrition Dietitian, Registered CurrentSince Jan 7, 2026 Accepting new patients
Lindatroia,LCSW, P.C. PastSince Jan 7, 2026 Accepting new patients
Burdett Orthopedics, PC PastSince Mar 1, 2010 Accepting new patients

Locations

125 Wolf Rd
Ste 212
Albany, NY 12205
Phone (212) 342-3587

5100 W Genesee St
Camillus, NY 13031
Phone (315) 401-0590

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1396469573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112564",
            "telephone_number": "518-262-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112564",
            "telephone_number": "518-262-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELORO",
        "first_name": "KATHRYN",
        "middle_name": "ELISE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86043891",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009285-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.

Verify at the official NPI Registry.