Active NPI
Evelyn A Kazinski, RD CDN
- Registered Dietitian
- Buffalo, NY
National Provider Identifier
1477529386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 004656
- Practice address
- 2128 Elmwood Ave
Buffalo, NY 14207-1910 - Phone
- (716) 874-4500
- Fax
- (716) 874-8145
- NPI assigned
- Feb 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 004656 | NY | Primary |
| Nutritionist | 133N00000X | 4422841 | NY |
Addresses
Primary practice location
2128 Elmwood Ave
Buffalo, NY 14207-1910
Mailing address
2128 Elmwood Ave
Buffalo, NY 14207-1910
Phone (716) 874-4500
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6507343 | Other | ENCOMPASS 65 | |
| 8000002 | Other | GROUP HEALTH INS PPO CMP | |
| 9609415 | Other | CUSTOM COVERAGE | |
| 6507343 | Other | MEDISOURCE | |
| 01465154 | Medicaid | NY | |
| 6507343 | Other | IHA ENCOMPASS | |
| 6507343 | Other | ENCOMPASS PLUS | |
| 710000694 | Other | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 4422841 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1477529386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 ELMWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142071910",
"telephone_number": "716-874-4500",
"fax_number": "716-874-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 ELMWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142071910",
"telephone_number": "716-874-4500",
"fax_number": "716-874-8145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZINSKI",
"first_name": "EVELYN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "RD CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "004656",
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "4422841",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENCOMPASS 65",
"identifier": "6507343",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH INS PPO CMP",
"identifier": "8000002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CUSTOM COVERAGE",
"identifier": "9609415",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDISOURCE",
"identifier": "6507343",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01465154",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA ENCOMPASS",
"identifier": "6507343",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENCOMPASS PLUS",
"identifier": "6507343",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "710000694",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.