Kate Marie Kennedy, RD ,LD, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

180 Issued in SC

Practice address

659 Serotina CT
Mt Pleasant, SC 29464-5171

Phone

(843) 642-6727

NPI assigned

Jan 31, 2020

Reactivated

Mar 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Me Simply Kate Professional name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nutrition in MotionGroup PAC ID 7416091996, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Nutrition in Motion

  • Registered Dietitian
  • Bedford, NH
  • NPI 1548437312

  Dietitian, Registered, SC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1093346710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 SEROTINA CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645171",
            "telephone_number": "843-642-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 SEROTINA CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645171",
            "telephone_number": "843-642-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RD  ,LD, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "deactivation_date": "2020-01-31",
        "reactivation_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ME",
            "last_name": "SIMPLY KATE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erin Healan Kendall, CNM
• Cara Kendrick, DNP, APRN, CPNP-PC
• Kennedy Chiropractic LLC
• Aidan Kennedy, DPT
• Jodi Elizabeth Kennedy, D.C.
• Maria Malatanos Kennickell, PA-C
• Mark Kennon, LMT, HEALTH COACH
• Bernadette Kenny, APRN
• Abby Kent, NP
• Anya Kent, D.D.S.

• Registered Dietitian in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.