IndividualActive
Kathy Anderson, R.D. MS, CDN, MBA
NPI 1154763233 · Registered Dietitian · Bronx, NY
Provider details
- NPI number
- 1154763233
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D. MS, CDN, MBA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 719830 (NY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2504 Olinville Ave
Apt 1g
Bronx, NY 10467-7452
Phone: (646) 261-7091
Fax: (914) 293-2661
Street-level locationGet directions
Mailing address
2504 Olinville Ave
Bronx, NY 10467-7452
Registry dates
- Enumerated
- 2013-07-18
- Last updated
- 2015-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.