Active NPI
Katherine Berger, RD
- Registered Dietitian
- San Jose, CA
National Provider Identifier
1114570876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001091091
- Practice address
- 967 W Hedding St Ste 110
San Jose, CA 95126-1259 - Phone
- (858) 205-9478
- NPI assigned
- Jul 22, 2019
- 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 | 001091091 | CA | Primary |
Addresses
Primary practice location
967 W Hedding St Ste 110
San Jose, CA 95126-1259
Mailing address
967 W Hedding St Ste 110
San Jose, CA 95126-1259
Phone (858) 205-9478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114570876 | Other | CA | NPI |
Other names 1
- Mrs. Kate Berger
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | simplepractice.com | Other |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001091091 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1114570876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "967 W HEDDING ST STE 110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261259",
"telephone_number": "858-205-9478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 W HEDDING ST STE 110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261259",
"telephone_number": "858-205-9478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "001091091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1114570876",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "simplepractice.com",
"affiliation": "N",
"endpointDescription": "Simple Practice Portal",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Simple Practice Portal",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Simple Practice Portal",
"address_1": "967 W Hedding St Ste 110",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "951261259",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATE",
"last_name": "BERGER",
"prefix": "MRS.",
"credential": "RD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.