Individual provider Active NPI

Kristin Grace Napora, RDN, CDN

  • Registered Dietitian
  • Skaneateles, NY
National Provider Identifier
1700608759
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
007569-01 Issued in NY
Practice address
1326 New Seneca Tpke
Skaneateles, NY 13152-8888
Phone
(315) 710-0080
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 007569-01 NY Primary

Addresses

Primary practice location

1326 New Seneca Tpke
Skaneateles, NY 13152-8888

Mailing address

5 Holly LN Apt 8
Tonawanda, NY 14150-2856
Phone (917) 484-0202

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

LicenseStateTypeSpecialty
007569-01NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1700608759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOLLY LN APT 8",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141502856",
            "telephone_number": "917-484-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 NEW SENECA TPKE",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131528888",
            "telephone_number": "315-710-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPORA",
        "first_name": "KRISTIN",
        "middle_name": "GRACE",
        "credential": "RDN, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007569-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skaneateles, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.