Active NPI
Kristen Rickan, RDN, CDN
- Registered Dietitian
- Amherst, NY
National Provider Identifier
1760007397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008246
- Practice address
- 86 Hilton Blvd
Amherst, NY 14226-1415 - Phone
- (716) 704-0684
- NPI assigned
- Jun 9, 2020
- 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 | 008246 | NY | Primary |
Addresses
Primary practice location
86 Hilton Blvd
Amherst, NY 14226-1415
Mailing address
86 Hilton Blvd
Amherst, NY 14226-1415
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008246 | NY | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Nutrition & Dietetics, PLLC | Dietitian, Registered | Past | Accepting new patients |
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.
-
- Registered Dietitian
- Grand Island, NY
- NPI 1932881372
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1760007397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 HILTON BLVD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 HILTON BLVD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261415",
"telephone_number": "716-704-0684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKAN",
"first_name": "KRISTEN",
"name_prefix": "Mrs.",
"credential": "RDN, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-09",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.