National Provider Identifier
Katelynn Faith Prendergast, RDN
Katelynn Faith Prendergast, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Kenmore, NY and a listed phone number of (716) 931-9037.
Profile Overview
- NPI
- 1043787104
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- October 26, 2018
- Last Updated
- October 31, 2024
Practice Location
- 2780 Delaware Ave Ste 2790
- Kenmore, NY 14217-2748
Phone: (716) 931-9037
Mailing Address
- 9568 Darien RD
- West Falls, NY 14170-9611
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1043787104
- Entity Type
- Individual
- Last Name
- Prendergast
- First Name
- Katelynn
- Middle Name
- Faith
- Name Prefix
- MS.
- Credential
- RDN
- Provider Other Last Name
- Arndt
- Provider Other First Name
- Katelynn
- Provider Other Middle Name
- Faith
- Provider Other Name Prefix Text
- MS.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 9568 Darien RD
- Mailing City
- West Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14170-9611
- Mailing Country
- US
- Mailing Phone
- (702) 533-0217
- Practice Street Address
- 2780 Delaware Ave Ste 2790
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2748
- Practice Country
- US
- Practice Phone
- (716) 931-9037
- Enumeration Date
- October 26, 2018
- Last Updated
- October 31, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- October 31, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)