Individual provider Active NPI

Molly Koch Parker, RDN, CD

  • Registered Dietitian
  • South Burlington, VT
National Provider Identifier
1144732785
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86076216 Issued in VT
Practice address
1233 Shelburne Rd Ste D2
Pierson House D2
South Burlington, VT 05403-7753
Phone
(802) 859-1577
Fax
(802) 859-1571
NPI assigned
Nov 3, 2017
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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 86076216 VT Primary

Addresses

Primary practice location

1233 Shelburne Rd Ste D2
Pierson House D2
South Burlington, VT 05403-7753

Mailing address

1233 Shelburne Rd Ste D2
Pierson House D2
South Burlington, VT 05403-7753
Phone (802) 859-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191224000041 VT Practitioner - Registered Dietitian Or Nutrition Professional 9830523901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86076216VTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
The Adams Center for Mind and Body, LLC Dietitian, Registered CurrentSince Oct 15, 2019 Accepting new patients
The Adams Center for Mind & Body LLC Dietitian, Registered CurrentSince Sep 14, 2025 Accepting new patients

Locations

1233 Shelburne Rd
Ste D2
South Burlington, VT 05403
Phone (802) 859-1577

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1144732785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE D2",
            "address_2": "PIERSON HOUSE D2",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037753",
            "telephone_number": "802-859-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE D2",
            "address_2": "PIERSON HOUSE D2",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037753",
            "telephone_number": "802-859-1577",
            "fax_number": "802-859-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MOLLY",
        "middle_name": "KOCH",
        "credential": "RDN, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "86076216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.

Verify at the official NPI Registry.