Individual provider Active NPI

Kathleen M. Hanuschak, RD, LDN

  • Registered Dietitian
  • Allentown, PA
National Provider Identifier
1073062683
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN001338 Issued in PA
Practice address
1200 South Cedar Crest Boulevard
Sodexo Administration Office
Allentown, PA 18103-6202
Phone
(610) 402-7949
Fax
(610) 402-7460
NPI assigned
Sep 23, 2016
Last updated
Sep 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN001338 PA Primary

Addresses

Primary practice location

1200 South Cedar Crest Boulevard
Sodexo Administration Office
Allentown, PA 18103-6202

Mailing address

1200 South Cedar Crest Boulevard
Sodexo Administration Office
Allentown, PA 18103-6202
Phone (610) 402-7949

Other identifiers 1

IdentifierTypeStateIssuer
KHANUSCHAKMedicaidPA

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
DN001338PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1073062683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SOUTH CEDAR CREST BOULEVARD",
            "address_2": "SODEXO ADMINISTRATION OFFICE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036202",
            "telephone_number": "610-402-7949",
            "fax_number": "610-402-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SOUTH CEDAR CREST BOULEVARD",
            "address_2": "SODEXO ADMINISTRATION OFFICE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036202",
            "telephone_number": "610-402-7949",
            "fax_number": "610-402-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANUSCHAK",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KHANUSCHAK",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.