KRISTEN DAVIS MS RD CDN NPI 1134508682

NPI Information

  • NPI: 1134508682
  • Provider Name: KRISTEN DAVIS, MS, RD, CDN
  • Classification: Dietitian, Registered - 133VN1006X
  • Specialization: Nutrition, Metabolic
  • Entity Type: Individual
  • Address: 5413 W GENESEE ST
    CAMILLUS, NY
    ZIP 13031
  • Phone: (315) 727-9251

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NPI Details

Kristen Davis, MS, RD, CDN is a nutrition and metabolic dietitian registered in Camillus, NY. The provider is a registered dietitian who achieves specialized competency in metabolic nutrition. Kristen Davis, MS, RD, CDN NPI is 1134508682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5413 W GENESEE ST
CAMILLUS, NY
ZIP 13031-100
Phone: (315) 727-9251
Fax: (315) 293-2791

The enumeration date for this NPI number is 5/29/2015 and was last updated on 4/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, Registered008367NEW YORKNo
2133VN1006XDietitian, RegisteredNutrition, Metabolic008367-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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