Active NPI
Kylie Reach, RDN, CDN
- Registered Dietitian
- North Tonawanda, NY
National Provider Identifier
1588540348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 012906
- Practice address
- 46 Pine St
North Tonawanda, NY 14120-5625 - Phone
- (716) 730-0175
- NPI assigned
- Aug 14, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3378 | KS | |
| Registered Dietitian | 133V00000X | 164.022488 | IL | |
| Registered Dietitian | 133V00000X | 012906 | NY | Primary |
Addresses
Primary practice location
46 Pine St
North Tonawanda, NY 14120-5625
Mailing address
46 Pine St
North Tonawanda, NY 14120-5625
Phone (716) 730-0175
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 |
|---|---|---|---|
| 164.022488 | IL | MD | Registered Dietitian |
| 012906 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1755129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1588540348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 PINE ST",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141205625",
"telephone_number": "716-730-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 PINE ST",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141205625",
"telephone_number": "716-730-0175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REACH",
"first_name": "KYLIE",
"credential": "RDN, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-14",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "3378",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.022488",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "012906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.