Kathryn Balone, RD, CDN
Individual provider Active NPI Registered Dietitian · Greenwich, CT
NPI 1659985307 · NPPES record last updated Sep 1, 2020
Key facts
- NPI
- 1659985307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1036587
- Practice address
- 23 Henry St Apt C
Greenwich, CT 06830-5809 - Phone
- (716) 208-4306
- NPI assigned
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007185 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 007185 | NY | |
| Registered Dietitian | 133V00000X | 1036587 | Yes |
Addresses
Primary practice location
23 Henry St Apt C
Greenwich, CT 06830-5809
Mailing address
23 Henry St Apt C
Greenwich, CT 06830-5809
Phone (716) 208-4306
Other providers in Greenwich, CT
- Djoana Clara H. Bakani
- Daniel Jonathan Bal
- Jose Ramon Elbo Balingcongan
- Caroline Paterson Ball
- Gretchen Dillon Ball
- Gerard Anthony Baltazar
- Barbara'S House
- Dana Barbieri
- Andrew Spencer Barile
- Kaye Barker
All providers in Greenwich, CT · Registered Dietitian in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.