Individual provider Active NPI

Katherine S. Ippolito, RD, CDE, CDN

  • Registered Dietitian
  • Rochester, NY
National Provider Identifier
1710145834
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
001930-1 Issued in NY
Practice address
Golisano Childrens Hospital 601 Elmwood Ave
Box 777
Rochester, NY 14642-0001
Phone
(585) 275-1539
Fax
(585) 244-6097
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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 001930-1 NY Primary

Addresses

Primary practice location

Golisano Childrens Hospital 601 Elmwood Ave
Box 777
Rochester, NY 14642-0001

Mailing address

40 Schoolhouse LN
Rochester, NY 14618-3232
Phone (585) 461-3743

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
001930-1NYMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1710145834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SCHOOLHOUSE LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183232",
            "telephone_number": "585-461-3743",
            "fax_number": "585-244-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GOLISANO CHILDRENS HOSPITAL 601 ELMWOOD AVE",
            "address_2": "BOX 777",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-1539",
            "fax_number": "585-244-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "KATHERINE",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "RD, CDE, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "001930-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.