Kathleen M. Kennedy Hutton, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

819336 Issued in IL

Practice address

300 Harding Blvd
Suite 203C
Roseville, CA 95678-2470

Phone

(916) 717-5962

Fax

(916) 419-2114

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen M. Kennedy Hutton Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1215090741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 BAINES AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351221",
            "telephone_number": "916-717-5962",
            "fax_number": "916-419-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HARDING BLVD",
            "address_2": "SUITE 203C",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782470",
            "telephone_number": "916-717-5962",
            "fax_number": "916-419-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY HUTTON",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "819336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "KENNEDY HUTTON",
            "middle_name": "M.",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sidney Dean Kelly, DMD
• Sarah Kelso, RBT
• Nancy Kemp, MD
• Nancy L Kemp, OT
• John M. Kendra, PH.D.
• Andrew Kennedy, RBT
• Neal Kennedy, SUDRC
• Veronica Marie Kennedy, AMFT
• Kenneth L. Larson, PH.D., Inc.
• Kenric a. Snow DDS Inc.

• Registered Dietitian in Roseville, CA
• Providers in Roseville, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.