Kristen Bronde Farrelly, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

009582 Issued in NY

Practice address

655 Deer Park Ave
Babylon, NY 11702-1314

Phone

(631) 321-2100

NPI assigned

Nov 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1417427600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SEQUAMS LN W",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954524",
            "telephone_number": "631-813-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021314",
            "telephone_number": "631-321-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELLY",
        "first_name": "KRISTEN",
        "middle_name": "BRONDE",
        "name_prefix": "Mrs.",
        "credential": "RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2023-10-17",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Ann Estelle, CPNP
• Eva Khavkin Medical PC
• Nicole Evans, PT, DPT
• Joy Anne Fallick, RN
• Luis M Fandos, M.D.
• Henry I Ferdman, D.D.S.
• Olga Ferdman, DDS
• Rita Ferretti
• Brittany Taylor Ficarra, DPT
• Jonathan Adam Finkelstein, M.D.

• Registered Dietitian in Babylon, NY
• Providers in Babylon, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.