Active NPI
Kathleen Marie Dwyer, RD, LDN, PHD
- Registered Dietitian
- Harrisburg, PA
National Provider Identifier
1184647877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN001241
- Practice address
- 4204 Society Park CT Apt D
Harrisburg, PA 17109-4932 - Phone
- (717) 652-1848
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | DN001241 | PA | Primary |
Addresses
Primary practice location
4204 Society Park CT Apt D
Harrisburg, PA 17109-4932
Mailing address
4204 Society Park CT Apt D
Harrisburg, PA 17109-4932
Phone (717) 652-1848
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN001241 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184647877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 SOCIETY PARK CT APT D",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171094932",
"telephone_number": "717-652-1848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4204 SOCIETY PARK CT APT D",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171094932",
"telephone_number": "717-652-1848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"credential": "RD, LDN, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN001241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.