NPIMap

Organization Active NPI

Amy Krystock LLC

Doing business as Amy Plano, RD

  • Registered Dietitian
  • Orange, CT
National Provider Identifier
1821586223
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
AMY KRYSTOCK LLC
Doing business as
Amy Plano, RD
The Plano Program
Practice address
500 Boston Post Rd
Orange, CT 06477-3530
Phone
(203) 671-3392
Fax
(888) 855-7803
NPI assigned
May 1, 2018
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Amy Plano, RD, MS, CDENPI 1194964908
Title
Owner
Phone
(203) 671-3392

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)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

500 Boston Post Rd
Orange, CT 06477-3530

Mailing address

500 Boston Post Rd
Orange, CT 06477-3530
Phone (203) 671-3392

Other identifiers 1

IdentifierTypeStateIssuer
D300057442OtherCTMEDICARE NUMBER

Other names 3

  • Amy Plano, RD Doing business as
  • The Plano Program Doing business as
  • Amy Krystock, RD Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200922000278 CT Part B Supplier - Clinic/Group Practice 2466870589 Receives reassigned benefits from 2 practitioners
Practice locations: Orange, CT

National Provider Directory

National Provider Directory

Locations

500 Boston Post Rd
Orange, CT 06477
Phone (203) 671-3392

107 Church Hill Rd
Ste 1
Sandy Hook, CT 06482
Phone (203) 270-9888

Practitioners & affiliated clinicians

Practitioners 3

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": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1821586223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773530",
            "telephone_number": "203-671-3392",
            "fax_number": "888-855-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773530",
            "telephone_number": "203-671-3392",
            "fax_number": "888-855-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY KRYSTOCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "PLANO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-671-3392",
        "authorized_official_credential": "RD, MS, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "D300057442",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Plano, RD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Plano Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Plano Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amy Krystock, RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.