Active NPI
Kathryn Elizabeth Carkhuff, MS, RDN, LD, CDCES
- Registered Dietitian
- Willoughby, OH
National Provider Identifier
1073831202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD6510
- Practice address
- 35000 Kaiser CT
Willoughby, OH 44094-3382 - Phone
- (216) 302-9924
- NPI assigned
- May 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD6510 | OH | Primary |
Addresses
Primary practice location
35000 Kaiser CT
Willoughby, OH 44094-3382
Mailing address
10701 East Blvd
Cleveland, OH 44106-1702
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD6510 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1073831202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 EAST BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35000 KAISER CT",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440943382",
"telephone_number": "216-302-9924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARKHUFF",
"first_name": "KATHRYN",
"middle_name": "ELIZABETH",
"credential": "MS, RDN, LD, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-12",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD6510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.