Active NPI
Krystsina Marhunova
- Registered Dietitian
- White Plains, NY
National Provider Identifier
1598586265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 30 Lake Street
Apartment 7G
White Plains, NY 10603 - Phone
- (914) 755-5004
- NPI assigned
- Oct 24, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
30 Lake Street
Apartment 7G
White Plains, NY 10603
Mailing address
602 New Britain Ave
Hartford, CT 06106-4033
Phone (860) 578-2314
Other practice location 1
602 New Britain Ave
Hartford, CT 06106-4033
Phone (860) 578-2314
Other practice location 2
481 Shelton Ave
Hamden, CT 06517-3170
Phone (860) 578-2314
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MLC Marketing LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
602 New Britain Ave
Hartford, CT 06106
Phone (860) 249-0975
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": "1729728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1598586265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 NEW BRITAIN AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061064033",
"telephone_number": "860-578-2314",
"fax_number": "888-370-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LAKE STREET",
"address_2": "APARTMENT 7G",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10603",
"telephone_number": "914-755-5004"
}
],
"practiceLocations": [
{
"address_1": "602 New Britain Ave",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061064033",
"country_code": "US",
"telephone_number": "860-578-2314",
"fax_number": "888-370-4970",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "481 Shelton Ave",
"address_purpose": "LOCATION",
"city": "Hamden",
"state": "CT",
"postal_code": "065173170",
"country_code": "US",
"telephone_number": "860-578-2314",
"fax_number": "888-370-4970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARHUNOVA",
"first_name": "KRYSTSINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-24",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.