Individual provider Active NPI

Kathryn Mary Marlow, MS,RD,LD

  • Metabolic Nutrition Registered Dietitian
  • Punta Gorda, FL
National Provider Identifier
1124337498
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
187 Issued in FL
Practice address
115 Taylor St
Punta Gorda, FL 33950-3654
Phone
(941) 505-0888
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X 187 FL Primary

Addresses

Primary practice location

115 Taylor St
Punta Gorda, FL 33950-3654

Mailing address

24360 Henry Morgan Blvd
Punta Gorda, FL 33955-1712
Phone (941) 740-7744

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
187FLMDMetabolic Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1124337498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24360 HENRY MORGAN BLVD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339551712",
            "telephone_number": "941-740-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TAYLOR ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503654",
            "telephone_number": "941-505-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLOW",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "MS,RD,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "FL",
            "license": "187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.