Individual provider Active NPI

Kelly Myers, RDN, CDN

  • Registered Dietitian
  • Williamsville, NY
National Provider Identifier
1558091264
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
010976 Issued in NY
Practice address
2829 Wehrle Dr Ste 7B
Williamsville, NY 14221-7387
Phone
(716) 626-7415
Fax
(716) 632-0389
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 010976 NY Primary

Addresses

Primary practice location

2829 Wehrle Dr Ste 7B
Williamsville, NY 14221-7387

Mailing address

3099 Wende Rd
Alden, NY 14004-9742

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926002892 NY Practitioner - Registered Dietitian Or Nutrition Professional 7012393267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Custom Dietetics PCGroup PAC ID 1456377738, 5 clinicians

Practice addresses (Care Compare)

2829 Wehrle Dr
Suite 7B
Williamsville, NY 14221-7387
Phone (716) 626-7415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010976NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Custom Dietetics, PC Dietitian, Registered CurrentSince Jun 1, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jul 11, 2022 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jul 11, 2022 Accepting new patients
Natalie Greco Dietetics and Nutrition PLLC Dietitian, Registered CurrentSince Jun 1, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

2829 Wehrle Dr
Ste 7B
Williamsville, NY 14221
Phone (716) 626-7415

2801 Wehrle Dr
Ste 4
Williamsville, NY 14221
Phone (716) 572-4909

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1558091264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 WENDE RD",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140049742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 WEHRLE DR STE 7B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217387",
            "telephone_number": "716-626-7415",
            "fax_number": "716-632-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KELLY",
        "credential": "RDN, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.