Active NPI
Catalyst Nutrition and Training
- Nutritionist
- Kingston, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- CATALYST NUTRITION AND TRAINING
- Practice address
- 480 Pierce St Ste 201
Kingston, PA 18704-5512 - Phone
- (888) 862-0803
- Fax
- (888) 862-0803
- NPI assigned
- Oct 12, 2022
- Last updated
- Nov 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brooke Michelle Evans, RD
- Title
- Owner
- Phone
- (888) 862-0803
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | ||
| Nutritionist | 133N00000X | NU | Primary |
Addresses
Primary practice location
480 Pierce St Ste 201
Kingston, PA 18704-5512
Mailing address
7 Aster Rd
Dallas, PA 18612-9759
Phone (570) 406-5375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1272 Twin Stacks Dr
Dallas, PA 18612
480 Pierce St
Ste 201
Kingston, PA 18704
Phone (888) 862-0803
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Kingston, PA
- NPI 1043852247
-
- Registered Dietitian
- Kingston, PA
- NPI 1164251617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1114643046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ASTER RD",
"city": "DALLAS",
"state": "PA",
"postal_code": "186129759",
"telephone_number": "570-406-5375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 PIERCE ST STE 201",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045512",
"telephone_number": "888-862-0803",
"fax_number": "888-862-0803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATALYST NUTRITION AND TRAINING",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-12",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "BROOKE",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-862-0803",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.