Active NPI
Papa Nutrition Wellness PLLC
- Registered Dietitian
- Somers, NY
National Provider Identifier
1811826217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- PAPA NUTRITION WELLNESS PLLC
- Practice address
- 112 Heritage HLS Unit C
Somers, NY 10589-1307 - Phone
- (914) 589-4845
- Fax
- (914) 302-1014
- NPI assigned
- May 14, 2026
- Last updated
- May 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristine Revie Papa, RD
- Title
- Managing Member
- Phone
- (914) 589-4845
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
112 Heritage HLS Unit C
Somers, NY 10589-1307
Mailing address
112 Heritage HLS Unit C
Somers, NY 10589-1307
Phone (914) 589-4845
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1811826217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 HERITAGE HLS UNIT C",
"city": "SOMERS",
"state": "NY",
"postal_code": "105891307",
"telephone_number": "914-589-4845",
"fax_number": "914-302-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HERITAGE HLS UNIT C",
"city": "SOMERS",
"state": "NY",
"postal_code": "105891307",
"telephone_number": "914-589-4845",
"fax_number": "914-302-1014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAPA NUTRITION WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-14",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "PAPA",
"authorized_official_first_name": "KRISTINE",
"authorized_official_middle_name": "REVIE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "914-589-4845",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.