Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497271167 Individual Practitioner Female Practitioner

Krista Ali Fedorchak , MS, RDN, CDN

Dietitian, Registered • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Krista Fedorchak, MS, RDN, CDN is a registered healthcare professional specializing in Dietitian, Registered in Ithaca, NY. Practice services are available at 310 TAUGHANNOCK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 Taughannock Blvd

Ithaca, NY 148503251

Telephone 6072523590
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Ithaca, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
29 Specialists

Practicing in Ithaca, NY (4786 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-08
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License None 86046225

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Lisa Proctor , NP

Nurse Practitioner - Acute Care

NPI 1114143419

Nurse Practitioner

NPI 1194226456

HEALTHEDUCATOR

Lauren Marino , RD

Dietitian, Registered

NPI 1275830358

Registered Dietitian

Kathy Eliason , RN

Registered Nurse

NPI 1477054732

Registered Nurse

Krista Mugford , RD, CDN

Dietitian, Registered

NPI 1477840346

Registered Dietitian, CDN

Myra Berkowitz , MNS, RD, CDN

Dietitian, Registered

NPI 1508016650

MNS, Registered Dietitian, CDN

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address May 05, 2020

Registered at 310 TAUGHANNOCK BLVD, ITHACA, NY 148503251

👤
Provider Name / Credentials Updated May 05, 2020

Recorded as KRISTA FEDORCHAK, MS, RDN, CDN

NPI Profile Active August 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2017

Registered at 310 TAUGHANNOCK BLVD, ITHACA, NY 148503251 (Tel: 6072523590)

📍
Updated Business Mailing Address August 15, 2017

Registered at 117 CASCADILLA ST, ITHACA, NY 148503472 (Tel: 4122257727)

👤
Provider Name / Credentials Updated August 15, 2017

Recorded as KRISTA GALIE, MS, RDN, CDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2017

Dietitian, Registered (License #86046225 in None)

🟢
Initial NPI Registration & Enumeration August 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497271167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2017
Last Update: February 08, 2024
Sole Proprietor: No

Mailing Address

310 Taughannock Blvd

Ithaca, NY 148503251

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.