Active NPI
Kathleen E. Wright
- Registered Dietitian
- Boston, MA
National Provider Identifier
1104478247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4803
- Practice address
- 50 Staniford St Ste 430
Boston, MA 02114-2541 - Phone
- (617) 726-4400
- NPI assigned
- Jul 9, 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 | 4803 | MA | Primary |
Addresses
Primary practice location
50 Staniford St Ste 430
Boston, MA 02114-2541
Mailing address
420 Kent Ave Apt PH21
Brooklyn, NY 11249-5665
Phone (516) 509-8025
Other practice location 1
420 Kent Ave Apt Ph21
Brooklyn, NY 11249-5665
Phone (516) 509-8025
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4803 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathleen Reilly Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Registered Dietitian
- Brooklyn, NY
- NPI 1366035974
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1104478247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 KENT AVE APT PH21",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112495665",
"telephone_number": "516-509-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 STANIFORD ST STE 430",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142541",
"telephone_number": "617-726-4400"
}
],
"practiceLocations": [
{
"address_1": "420 Kent Ave Apt Ph21",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112495665",
"country_code": "US",
"telephone_number": "516-509-8025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "KATHLEEN",
"middle_name": "E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.