Active NPI
Hannah Kernizan, MS, RD, LDN
- Registered Dietitian
- Holyoke, MA
National Provider Identifier
1710424858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4240
- Practice address
- 166 Central Park Dr
Holyoke, MA 01040-1308 - Phone
- (484) 241-5792
- Fax
- (484) 241-5792
- NPI assigned
- Jan 27, 2017
- 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 | 4240 | MA | Primary |
Addresses
Primary practice location
166 Central Park Dr
Holyoke, MA 01040-1308
Mailing address
166 Central Park Dr
Holyoke, MA 01040-1308
Phone (484) 241-5792
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4240 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole Frank-Maslar Dba Pyramid Nutrition Services | Dietitian, Registered | Past | Accepting new patients |
| Pyramid Nutrition Services | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Registered Dietitian
- Springfield, MA
- NPI 1821535535
Dietitian, Registered
-
dba Nicole K Frank
- Registered Dietitian
- Springfield, MA
- NPI 1205178118
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1710424858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 CENTRAL PARK DR",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010401308",
"telephone_number": "484-241-5792",
"fax_number": "484-241-5792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 CENTRAL PARK DR",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010401308",
"telephone_number": "484-241-5792",
"fax_number": "484-241-5792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNIZAN",
"first_name": "HANNAH",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.