Individual provider Active NPI

Jessie Krempholtz, MS, RDN, CDN

  • Registered Dietitian
  • Williamsville, NY
National Provider Identifier
1801372131
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
009425 Issued in NY
Practice address
2829 Wehrle Dr Ste 7B
Williamsville, NY 14221-7387
Phone
(716) 626-7415
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 009425 NY Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X

Addresses

Primary practice location

2829 Wehrle Dr Ste 7B
Williamsville, NY 14221-7387

Mailing address

4522 Hunters Creek Rd
Wales Center, NY 14169-9405
Phone (716) 982-9130

Other identifiers 1

IdentifierTypeStateIssuer
009425OtherNYNYS CERTIFICATION

Other names 1

  • Jessie Daly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190308001452 NY Practitioner - Registered Dietitian Or Nutrition Professional 6901145952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Custom Dietetics PCGroup PAC ID 1456377738, 5 clinicians

Practice addresses (Care Compare)

2829 Wehrle Dr
Suite 7B
Williamsville, NY 14221-7387
Phone (716) 626-7415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Greco Dietetics and Nutrition PLLC Dietitian, Registered CurrentSince May 3, 2022 Accepting new patients
Custom Dietetics, PC Nutritionist CurrentSince Feb 1, 2019 Accepting new patients

Locations

4721 Transit Rd
Ste B
Depew, NY 14043
Phone (716) 257-1254

2829 Wehrle Dr
Ste 7B
Williamsville, NY 14221
Phone (716) 626-7415

2801 Wehrle Dr
Ste 4
Williamsville, NY 14221
Phone (716) 572-4909

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.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1801372131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 HUNTERS CREEK RD",
            "city": "WALES CENTER",
            "state": "NY",
            "postal_code": "141699405",
            "telephone_number": "716-982-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 WEHRLE DR STE 7B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217387",
            "telephone_number": "716-626-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMPHOLTZ",
        "first_name": "JESSIE",
        "credential": "MS, RDN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009425",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS CERTIFICATION",
            "identifier": "009425",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "DALY",
            "credential": "MS, RDN, CDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.