Kate Conklin, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN007174 Issued in PA

Practice address

321 1St St
Blakely, PA 18447-1205

Phone

(860) 833-7162

NPI assigned

Jan 30, 2019

Last updated

Dec 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Kate Conklin, Registered Dietitian, LLC

  • Registered Dietitian
  • Clarks Summit, PA
  • NPI 1083288815

  Dietitian, Registered

  NPD Authorized official
• Kate Conklin, Registered Dietitian, LLC

  • Registered Dietitian
  • Blakely, PA
  • NPI 1710572409

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1053875427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 1ST ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "184471205",
            "telephone_number": "860-833-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 1ST ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "184471205",
            "telephone_number": "860-833-7162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178225002",
            "country_code": "US",
            "telephone_number": "570-214-7644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "KATE",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007174",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Donald Blackledge, D.C.
• Liisa Blondeel
• Agatha Tina Bruno-Poepperling, L.P.C.
• Community Diabetes and Nutrition Services, LLC
• Complete Chiropractic and Rehabilitation
• Nicole Cush
• Eco Arts Living
• Erica Engles-Senak, LSW
• Farley Counseling & Consulting LLC
• Mindy Farley, PH.D., LPC, CRC

• Registered Dietitian in Blakely, PA
• Providers in Blakely, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; 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.