Pamela Kapustik, RD LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN001341 Issued in PA

Practice address

111 Woody Dr
Butler, PA 16001-7603

Phone

(724) 287-1000

Fax

(724) 256-8171

NPI assigned

Apr 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coordinated Kidney Care Group IncGroup PAC ID 0345338281, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkapustik@ntn.medentdirect.com

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.

• Coordinated Kidney Care Group, Inc.

  • Nephrology Physician
  • Kittanning, PA
  • NPI 1407044308
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1992387708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PASTURE CROSSING DR",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160551814",
            "telephone_number": "724-524-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WOODY DR",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160017603",
            "telephone_number": "724-287-1000",
            "fax_number": "724-256-8171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Nolte Dr Bldg 700",
            "address_purpose": "LOCATION",
            "city": "Kittanning",
            "state": "PA",
            "postal_code": "162017111",
            "country_code": "US",
            "telephone_number": "724-548-1395",
            "fax_number": "724-548-1396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 E North St Ste 203",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161013741",
            "country_code": "US",
            "telephone_number": "724-856-7055",
            "fax_number": "724-856-7034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPUSTIK",
        "first_name": "PAMELA",
        "credential": "RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian C Tolentino PC
• Just What the Doctor Ordered
• Sean Michael Kalmeyer, PA-C
• Kamalesh K. Sekaran, M.D.
• Kang Ning Hu MD
• Nikki Alexa Karatinos
• Lavanya Karri, MD
• Melissa Rene Karski
• Carol Katulich, LMFT, CADC
• Jayni S Kaufman, P.T.

• Registered Dietitian in Butler, PA
• Providers in Butler, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.