Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kathleen Kornacki, RD, CDN, CSP, CNSC

Individual provider Registered Dietitian · NPI 1609038132

Mrs. Kathleen Kornacki, RD, CDN, CSP, CNSC is a Registered Dietitian OR Nutrition Professional in Amherst, New York. Qualified in 2005, 21 years ago. Practices with General Physician PC, a 487-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2008
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

3980A Sheridan Dr
Amherst, NY 14226-1741
Phone: (716) 631-8400
Fax: (716) 631-8408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 006449 (NY)

Record details

NPI number1609038132
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CDN , CSP , CNSC
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESApril 13, 2021
Certification dateApril 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice General Physician Pc — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Amherst