Kathleen P Hayward, RD
Individual provider Active NPI Registered Dietitian · Laconia, NH
NPI 1093067977 · NPPES record last updated Oct 3, 2012
Key facts
- NPI
- 1093067977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 11HDK77071 (NH)
- Practice address
- 80 Highland St
Laconia, NH 03246-3235 - Phone
- (603) 524-3211
- NPI assigned
- Oct 3, 2012
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11HDK77071 | NH | MD | Registered Dietitian |
| 367 | NH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 11HDK77071 | NH | Yes |
Addresses
Primary practice location
80 Highland St
Laconia, NH 03246-3235
Mailing address
PO Box 678
Laconia, NH 03247-0678
Phone (603) 524-3211
Other providers in Laconia, NH
- Alexa Harry
- Shannon Carlton Hartley
- Brian C Harvey
- Marshall Bourne Hatch
- Tami Hayhurst
- Healing Lakes Chiropractic LLC
- Healthfirst Dental Resource Center
- Healthfirst Family Care Center, Inc.
- Healthfirst Family Care Center, Inc.
- Healthfirst Family Care Center, Inc.
All providers in Laconia, NH · Registered Dietitian in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2012. 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.