Danielle Lynn Kennedy, RD
Dietitian, Registered in East Northport, NY. Individual provider (NPI-1).
NPI number1700488673
StatusActive
Last updated in NPPESAug 31, 2021
Details
- NPI
- 1700488673
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Danielle Lynn Kennedy
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2020
- Certification date
- Aug 31, 2021
- Last updated
- Aug 31, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 009392 | NY | Yes |
Other names
- Danielle Lynn Oberg (Former Name)
Practice location
600 2nd Street NorthEast Northport, NY 11731
Phone 631-748-6981
Mailing address
600 2nd Street NorthEast Northport, NY 11731
Phone 631-748-6981
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Registered Dietitian providers in East Northport · All 619 providers in East Northport
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