National Provider Identifier

Jessie Krempholtz, MS, RDN, CDN

Jessie Krempholtz, MS, RDN, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Williamsville, NY and a listed phone number of (716) 626-7415.

NPI 1801372131Williamsville, NYRegistered Dietitian

Profile Overview

NPI
1801372131
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
July 19, 2018
Last Updated
May 02, 2023

Practice Location

  • 2801 Wehrle Dr Ste 4
  • Williamsville, NY 14221-7381

Phone: (716) 626-7415

Mailing Address

  • 4522 Hunters Creek RD
  • Wales Center, NY 14169-9405

Specialties

  • Registered Dietitian (133V00000X)
  • Nutritionist (133N00000X)
  • Registered Dietitian (133V00000X)
Full Record
NPI
1801372131
Entity Type
Individual
Last Name
Krempholtz
First Name
Jessie
Credential
MS, RDN, CDN
Provider Other Last Name
Daly
Provider Other First Name
Jessie
Provider Other Credential Text
MS, RDN, CDN
Provider Other Last Name Type Code
1
Mailing Street Address
4522 Hunters Creek RD
Mailing City
Wales Center
Mailing State
NY
Mailing ZIP Code
14169-9405
Mailing Country
US
Mailing Phone
(716) 982-9130
Practice Street Address
2801 Wehrle Dr Ste 4
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7381
Practice Country
US
Practice Phone
(716) 626-7415
Enumeration Date
July 19, 2018
Last Updated
May 02, 2023
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Taxonomy Group 3
193400000X Single Specialty Group
Certification Date
May 02, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X), Nutritionist (133N00000X), Registered Dietitian (133V00000X)
Other Identifiers
009425 (NY, Nys Certification)