Active NPI
Krista Mugford, R.D, C.D.N
- Registered Dietitian
- Ithaca, NY
National Provider Identifier
1477840346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 006615-1
- Practice address
- 310 Taughannock Blvd
Suite 3
Ithaca, NY 14850-3251 - Phone
- (607) 252-3590
- NPI assigned
- Jun 29, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 006615-1 | NY | Primary |
Addresses
Primary practice location
310 Taughannock Blvd
Suite 3
Ithaca, NY 14850-3251
Mailing address
310 Taughannock Blvd
Suite 3
Ithaca, NY 14850-3251
Phone (607) 252-3590
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006615-1 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornell University | Past | Accepting new patients | |
| Guthrie Medical Group, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Student Health Clinic/Center
- Ithaca, NY
- NPI 1073584926
-
- Family Medicine Physician
- Troy, PA
- NPI 1376592493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1477840346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 TAUGHANNOCK BLVD",
"address_2": "SUITE 3",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503251",
"telephone_number": "607-252-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 TAUGHANNOCK BLVD",
"address_2": "SUITE 3",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503251",
"telephone_number": "607-252-3590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUGFORD",
"first_name": "KRISTA",
"name_prefix": "Ms.",
"credential": "R.D, C.D.N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "006615-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.