Active NPI
Katherine Margaritis, MS, RD, LD/N
- Registered Dietitian
- Jacksonville, FL
National Provider Identifier
1083176887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1031888
- Practice address
- 841 Prudential Dr
Jacksonville, FL 32207-8329 - Phone
- (904) 633-0920
- Fax
- (904) 633-0921
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 1031888 | FL | Primary |
Addresses
Primary practice location
841 Prudential Dr
Jacksonville, FL 32207-8329
Mailing address
6942 Manning Cemetery Rd # 32234
Jacksonville, FL 32234-2807
Phone (904) 405-7486
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 |
|---|---|---|---|
| 1031888 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1083176887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6942 MANNING CEMETERY RD # 32234",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322342807",
"telephone_number": "904-405-7486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 PRUDENTIAL DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078329",
"telephone_number": "904-633-0920",
"fax_number": "904-633-0921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGARITIS",
"first_name": "KATHERINE",
"credential": "MS, RD, LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "1031888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.