Active NPI
Kathryn Parker, RD., LD/N
- Registered Dietitian
- Gainesville, FL
National Provider Identifier
1194128652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 736
- Practice address
- 2000 SW Archer Rd
Room 2108
Gainesville, FL 32608-1136 - Phone
- (352) 265-8548
- Fax
- (352) 265-8425
- NPI assigned
- Sep 29, 2014
- 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 | ND 736 | FL | Primary |
Addresses
Primary practice location
2000 SW Archer Rd
Room 2108
Gainesville, FL 32608-1136
Mailing address
2000 SW Archer Rd
Room 2108
Gainesville, FL 32608-1136
Phone (352) 265-8548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N00AY | Other | FL | BC/BS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 736 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1194128652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 SW ARCHER RD",
"address_2": "ROOM 2108",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081136",
"telephone_number": "352-265-8548",
"fax_number": "352-265-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SW ARCHER RD",
"address_2": "ROOM 2108",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081136",
"telephone_number": "352-265-8548",
"fax_number": "352-265-8425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "KATHRYN",
"credential": "RD., LD/N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-29",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "N00AY",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.