Active NPI
Katherine Summerville Donoher, RD
- Obesity and Weight Management Nutrition Registered Dietitian
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- 1053724
- Practice address
- 2440 N 11TH St
Grand Junction, CO 81501-8102 - Phone
- (970) 298-1998
- NPI assigned
- Sep 13, 2021
- Last updated
- Sep 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053724 | Other | COMMISSION OF DIETETICS REGISTRATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | katherine.donoher@sclhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | 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.
-
- Orthopaedic Surgery Physician
- Grand Junction, CO
- NPI 1356765556
-
dba DME - Wellington Neurosurgery Clinic
- Durable Medical Equipment & Medical Supplies
- Grand Junction, CO
- NPI 1609737618
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.