Active NPI
Irina Kachko, MS, RD, CDE, CDN
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1801196993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 910004
- Practice address
- 322 Linden Boulevard
Brooklyn, NY 11226 - Phone
- (718) 469-5500
- Fax
- (718) 469-5502
- NPI assigned
- Oct 24, 2010
- 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 | 910004 | NY | Primary |
Addresses
Primary practice location
322 Linden Boulevard
Brooklyn, NY 11226
Mailing address
322 Linden Boulevard
Brooklyn, NY 11226
Phone (718) 469-5500
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 910004 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1801196993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 LINDEN BOULEVARD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11226",
"telephone_number": "718-469-5500",
"fax_number": "718-469-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 LINDEN BOULEVARD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11226",
"telephone_number": "718-469-5500",
"fax_number": "718-469-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACHKO",
"first_name": "IRINA",
"credential": "MS, RD, CDE, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-24",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "910004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.