Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

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

Individual provider Registered Dietitian · NPI 1609038132

Mrs. Kathleen Kornacki, RD, CDN, CSP, CNSC is registered under 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

Colleagues at General Physician PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 487 clinicians in the practice; 12 are shown here.

Other providers in Amherst