Individual provider Active NPI

Katherine Summerville Donoher, RD

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Grand Junction, CO
National Provider Identifier
1205505245
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
License
1053724 Issued in NU
Practice address
2440 N 11TH St
Grand Junction, CO 81501-8102
Phone
(970) 298-1998
NPI assigned
Sep 13, 2021
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1053724 NU
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 1053724 NU Primary

Addresses

Primary practice location

2440 N 11TH St
Grand Junction, CO 81501-8102

Mailing address

2440 N 11TH St
Grand Junction, CO 81501-8102
Phone (970) 298-1998

Other identifiers 1

IdentifierTypeStateIssuer
1053724OtherCOMMISSION OF DIETETICS REGISTRATION

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL katherine.donoher@sclhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116000515 CO Practitioner - Registered Dietitian Or Nutrition Professional 4688063506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2440 N 11St St
Western Colorado Obesity Management Clinic
Grand Junction, CO 81501-8102
Phone (970) 298-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Aug 10, 2021 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Aug 10, 2021 Accepting new patients

Locations

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2440 N 11th St
Grand Junction, CO 81501
Phone (970) 243-0900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1205505245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 N 11TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018102",
            "telephone_number": "970-298-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 N 11TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018102",
            "telephone_number": "970-298-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHER",
        "first_name": "KATHERINE",
        "middle_name": "SUMMERVILLE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "1053724",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NU",
            "license": "1053724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION OF DIETETICS REGISTRATION",
            "identifier": "1053724",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "katherine.donoher@sclhealth.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2440 N 11th St",
            "city": "Grand Junction",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815018102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.