Individual provider Active NPI

Katherine Rose Walker, RD, CDN

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1114745148
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
010535 Issued in NY
Practice address
1225 44TH St
Brooklyn, NY 11219-2080
Phone
(347) 746-0453
Fax
(347) 736-0457
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 010535 NY Primary

Addresses

Primary practice location

1225 44TH St
Brooklyn, NY 11219-2080

Mailing address

1225 44TH St
Brooklyn, NY 11219-2080
Phone (347) 746-0453

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

LicenseStateTypeSpecialty
010535NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Park Nutrition, LLC CurrentSince Oct 6, 2024 Accepting new patients
Boro Park Dietitian Dietitian, Registered CurrentSince Oct 6, 2024 Accepting new patients

Locations

29 Little Nassau St
Brooklyn, NY 11205
Phone (718) 360-0580

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1114745148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 44TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192080",
            "telephone_number": "347-746-0453",
            "fax_number": "347-736-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 44TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192080",
            "telephone_number": "347-746-0453",
            "fax_number": "347-736-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KATHERINE",
        "middle_name": "ROSE",
        "credential": "RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.