Individual provider Active NPI

Kathryn Speelman, RD, RDN

  • Registered Dietitian
  • Toms River, NJ
National Provider Identifier
1194566216
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
175 Sunset Ave
Toms River, NJ 08755-3212
Phone
(732) 341-9700
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 Primary

Addresses

Primary practice location

175 Sunset Ave
Toms River, NJ 08755-3212

Mailing address

973 Rosewood Ave
Brick, NJ 08723-6162
Phone (732) 619-4236

Other names 1

  • Kathy Speelman Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean County Board of Health Dietitian, Registered CurrentSince Jun 9, 2024 Accepting new patients
TX Telehealth PLLC PastSince Jun 9, 2024 Accepting new patients

Locations

175 Sunset Ave
Toms River, NJ 08755
Phone (732) 341-3424

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1194566216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 ROSEWOOD AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236162",
            "telephone_number": "732-619-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SUNSET AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553212",
            "telephone_number": "732-341-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEELMAN",
        "first_name": "KATHRYN",
        "credential": "RD, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "SPEELMAN",
            "credential": "RD, RDN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.