Active NPI
Kathryn Diane Vicini, RD
- Registered Dietitian
- Pittsburgh, PA
National Provider Identifier
1174983225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86029058
- Practice address
- 960 Penn Ave
Suite 600
Pittsburgh, PA 15222-3818 - Phone
- (412) 288-2130
- Fax
- (412) 288-9036
- NPI assigned
- Mar 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86029058 | PA | Primary |
Addresses
Primary practice location
960 Penn Ave
Suite 600
Pittsburgh, PA 15222-3818
Mailing address
PO Box 71
Rural Valley, PA 16249-0071
Phone (724) 525-1392
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86029058 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1174983225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"city": "RURAL VALLEY",
"state": "PA",
"postal_code": "162490071",
"telephone_number": "724-525-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 PENN AVE",
"address_2": "SUITE 600",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152223818",
"telephone_number": "412-288-2130",
"fax_number": "412-288-9036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICINI",
"first_name": "KATHRYN",
"middle_name": "DIANE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-02",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "86029058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.