MRS. KRISTEN BRONDE FARRELLY RD, CDN - NPI 1417427600 - Dietitian, Registered in Babylon, NY

Q: What is Kristen Farrelly's NPI number?

The NPI number for Kristen Farrelly is 1417427600. It was assigned to this individual provider in the NPPES registry on November 29, 2018.

Q: What is Kristen Farrelly's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Farrelly was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mrs. Kristen Bronde Farrelly Rd, Cdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTEN BRONDE FARRELLY RD, CDN (NPI 1417427600) is an individual dietitian, registered in Babylon, New York, licensed in New York (009582) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1417427600

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. KRISTEN BRONDE FARRELLYCredential: RD, CDN

Location Address655 DEER PARK AVEBabylon, NY 11702-1314

Mailing Address7 Sequams Ln WWest Islip, NY 11795-4524 · (631) 813-8560

Phone(631) 321-2100

Sole ProprietorYes

Enumeration DateNovember 29, 2018

Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2023

✔ NPI 1417427600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NY · 009582

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

655 DEER PARK AVE, Babylon, NY 11702

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CATHERINE ANNE WIELAND NP

Nurse Practitioner (Pediatrics)