Active NPI
Kathy Ellen Kraus, RD
- Registered Dietitian
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000222
- Practice address
- 82 Akbar Rd
Stamford, CT 06902-1402 - Phone
- (203) 912-9449
- Fax
- (203) 324-1190
- NPI assigned
- Mar 22, 2007
- Last updated
- Nov 25, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000222 | CT | Primary |
| Nutritionist | 133N00000X | 0063111 | NY | |
| Nutritionist | 133N00000X | 006311 | NY |
Addresses
Primary practice location
82 Akbar Rd
Stamford, CT 06902-1402
Mailing address
82 Akbar Rd
Stamford, CT 06902-1402
Phone (203) 912-9449
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2168469 | Other | CT | OXFORD |
| 270000222CT01 | Other | CT | BC/BS |
| 5455578 | Other | CT | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Vernon Neighborhood Health Center Inc
Practice addresses (Care Compare)
107 W 4TH St
Mount Vernon, NY 10550-4002
Phone 9146997200660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0063111 | NY | MD | Nutritionist |
| 000222 | CT | MD | Registered Dietitian |
| 222 | CT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Vernon Neighborhood Health Center Inc | Current | Accepting new patients | |
| Mount Vernon Neighborhood Health Center, Inc. | Current | Accepting new patients |
Locations
107 W 4th St
Mount Vernon, NY 10550
Phone (914) 699-0235
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mount Vernon Physician Group
- Specialist
- Mount Vernon, NY
- NPI 1295912541
-
dba Westchester Community Health Center Yonkers
- Federally Qualified Health Center (FQHC)
- Yonkers, NY
- NPI 1952550055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1487770145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 AKBAR RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069021402",
"telephone_number": "203-912-9449",
"fax_number": "203-324-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 AKBAR RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069021402",
"telephone_number": "203-912-9449",
"fax_number": "203-324-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUS",
"first_name": "KATHY",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000222",
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "0063111",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "006311",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2168469",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "270000222CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5455578",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.