Kathryn Elizabeth Henning, M.S., R.D.

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

00931156 Issued in CA

Practice address

3810 Katella Ave
Los Alamitos, CA 90720-3302

Phone

(714) 334-2480

Fax

(714) 578-0043

NPI assigned

Jun 29, 2011

Last updated

Jun 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• SKJ Nutrition LLC

  dba Kathy Henning Nutrition

  • Registered Dietitian
  • Los Alamitos, CA
  • NPI 1518551563
  NPD Authorized official

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1164719027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S CORNELL AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314521",
            "telephone_number": "714-334-2480",
            "fax_number": "714-578-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203302",
            "telephone_number": "714-334-2480",
            "fax_number": "714-578-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNING",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "00931156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hear Well Center
• Hearing Services West
• Kristina Heeren, PPS
• Helen Mahoney MD Inc
• Nancy Helms, PAC
• Kirsten Henriquez
• Mellissa Henry, FNP
• Ward James Henry III, D.C.
• Rhisie Hentges, LMFT
• Michael Hermansen, PA-C

• Renal Nutrition Registered Dietitian in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Renal Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.