Individual provider Active NPI

Kerah Henebery

  • Registered Dietitian
  • Owings, MD
National Provider Identifier
1013497486
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX3873 Issued in MD
Practice address
7030 Wilderness CT
Owings, MD 20736-4343
Phone
(413) 244-2676
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DX3873MDMDRegistered Dietitian

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Networks

  • TX HMO D-SNP
  • TX HMO

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX3873 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

7030 Wilderness CT
Owings, MD 20736-4343

Mailing address

7030 Wilderness CT
Owings, MD 20736-4343
Phone (413) 244-2676

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2018.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1013497486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 WILDERNESS CT",
            "city": "OWINGS",
            "state": "MD",
            "postal_code": "207364343",
            "telephone_number": "413-244-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 WILDERNESS CT",
            "city": "OWINGS",
            "state": "MD",
            "postal_code": "207364343",
            "telephone_number": "413-244-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEBERY",
        "first_name": "KERAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.