MEDICARE: COMMUNITY NUTRITION PARTNERSHIP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker
2	332U00000X	Home Delivered Meals

General Provider Information

NPI Number	:	1982419289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY NUTRITION PARTNERSHIP

Provider Business Mailing Address
First Line	:	229 W GENESEE ST UNIT 105
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14201-7005
Country	:	US
Telephone Number	:	703-708-4040
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 CLINTON ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14206-3015
Country	:	US
Telephone Number	:	703-708-4040
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KRISTIE CHAMBERLAIN
Credential	:
Telephone Number	:	703-708-4040

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	03/03/2026

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Directions to “COMMUNITY NUTRITION PARTNERSHIP ” Practice Location

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