Katherine Openshaw, RD
Individual provider Active NPI Registered Dietitian · Goldsboro, NC
NPI 1033716436 · NPPES record last updated Oct 8, 2020
Key facts
- NPI
- 1033716436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- L005001 (NC)
- Practice address
- 521 Walnut Creek Dr
Goldsboro, NC 27534-8997 - Phone
- (586) 946-0207
- NPI assigned
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L005001 | NC | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L005001 | NC | Yes |
Addresses
Primary practice location
521 Walnut Creek Dr
Goldsboro, NC 27534-8997
Mailing address
521 Walnut Creek Dr
Goldsboro, NC 27534-8997
Other providers in Goldsboro, NC
- Omid Khaksarfard DDS PLLC
- Omni Family of Services North Carolina Inc.
- One to One With Youth, Inc.
- Open Water Medical, PA
- Openarmsofgoldsboro
- Sofia Osorio
- Stephen Allen Otanes
- James Otey
- Robert A Ottaviani
- Our Circle of Care LLC
All providers in Goldsboro, NC · Registered Dietitian in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.