Nicole Kmicinski, RD, CDN
NPI 1093193468ActiveIndividual· Dietitian, Registered· Buffalo, NY
Dietitian, Registered (RD, CDN) in Buffalo, New York, licensed in NY, with an NPI issued in May 2015. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1093193468 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, CDN |
| Sole proprietor | No |
| NPI issued | May 18, 2015 |
| Last updated in NPPES | Jul 6, 2023 |
| Certified by provider | Jul 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 824056 | NY |
| Health Educator | 174H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (NY) |
|---|
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