Active NPI
Katherine Ancona Frielingsdorf, MS, RD, CDN, CDCES
- Registered Dietitian
- Miller Place, NY
National Provider Identifier
1821674607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008348
- Practice address
- 428 Route 25a BLDG a
Miller Place, NY 11764-2514 - Phone
- (631) 509-5544
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 008348 | NY | Primary |
Addresses
Primary practice location
428 Route 25a BLDG a
Miller Place, NY 11764-2514
Mailing address
428 Route 25a BLDG a
Miller Place, NY 11764-2514
Phone (631) 509-5544
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 |
|---|---|---|---|
| 008348 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1821674607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 ROUTE 25A BLDG A",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642514",
"telephone_number": "631-509-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 ROUTE 25A BLDG A",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642514",
"telephone_number": "631-509-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIELINGSDORF",
"first_name": "KATHERINE",
"middle_name": "ANCONA",
"credential": "MS, RD, CDN, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2024-03-21",
"certification_date": "2023-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miller Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.