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CAROLINE RUTH KENNEDY RDN
NPI 1558196436
Dietitian, Registered in Buffalo, NY

Active since September 03, 2024
1001 MAIN ST, BUFFALO, NY 14203(716) 323-0030 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Caroline Ruth Kennedy Rdn NPPES

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

CAROLINE RUTH KENNEDY RDN (NPI 1558196436) is an individual dietitian, registered in Buffalo, New York, licensed in New York (86264915) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1558196436
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCAROLINE RUTH KENNEDYCredential: RDN
Location Address1001 MAIN STBuffalo, NY 14203-1009
Mailing Address4204 Trailing DrWilliamsville, NY 14221-7538 · (716) 204-6731
Phone(716) 323-0030
Sole ProprietorNo
Enumeration DateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1558196436 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 · 86264915
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.
1001 MAIN ST, Buffalo, NY 14203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Ruth Kennedy Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Caroline Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University At Buffalo Pediatric Associates Inc
Same address
Pediatrics
1001 MAIN ST FL 4
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 217 clinicians in this Medicare group
NPI 1912928599 (716) 323-0225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MISS KATHLEEN MARY JOHNSON FNP
Nurse Practitioner (Family)
1001 MAIN ST
BUFFALO, NY 14203
Erie County (716) 573-8974
AMARJIT VIRK M.D.
Anesthesiology
1001 MAIN ST
BUFFALO, NY 14203
Erie County (716) 323-6570
MATTHEW DEAN COLLIN DO
Psychiatry & Neurology (Neurology)
1001 MAIN ST
BUFFALO, NY 14203
Erie County (716) 829-5050
DR. EZEKIEL YOUNG M.D.
Urology (Pediatric Urology)
1001 MAIN ST
BUFFALO, NY 14203
Erie County (716) 859-7978
JOANNE CLARE ADAMS MD
Student in an Organized Health Care Education/Training Program
1001 MAIN ST
BUFFALO, NY 14203
Erie County (716) 323-0031
CHELSEA BZDUCH FNP
Nurse Practitioner (Family)
1001 MAIN ST
BUFFALO, NY 14203
Erie County (716) 323-6050
HEIDI CALHOUN-NUDD CRNA
Nurse Anesthetist, Certified Registered
1001 MAIN ST, SUITE K3502
BUFFALO, NY 14203
Erie County (814) 274-9301
CARA STRANO PT
Physical Therapist
1001 MAIN ST
BUFFALO, NY 14203
Erie County (716) 323-6510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Kennedy's NPI number?

The NPI number for Caroline Kennedy is 1558196436. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Caroline Kennedy located?

Caroline Kennedy practices at 1001 Main St, Buffalo, NY 14203. The listed phone number is (716) 323-0030.

What is Caroline Kennedy's specialty?

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

Is Caroline Kennedy enrolled in Medicare?

Yes. Caroline Kennedy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caroline Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Kennedy reassigns Medicare benefits to University At Buffalo Pediatric Associates Inc (Buffalo, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caroline Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Caroline Kennedy was last updated on September 3, 2024. 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.