Individual provider Active NPI

Katrina Lynn Cox, M.S., R.D., LDN

  • Registered Dietitian
  • Pawtucket, RI
National Provider Identifier
1215280789
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00738 Issued in RI
Practice address
16 Bristol Ave
Pawtucket, RI 02861-2118
Phone
(508) 493-6265
NPI assigned
Oct 22, 2012
Last updated
Jun 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

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 3339 MA
Registered Dietitian 133V00000X LDN00738 RI Primary

Addresses

Primary practice location

16 Bristol Ave
Pawtucket, RI 02861-2118

Mailing address

16 Bristol Ave
Pawtucket, RI 02861-2118
Phone (508) 493-6265

Other identifiers 1

IdentifierTypeStateIssuer
042768252MedicaidMA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LDN00738RIMDRegistered Dietitian
3339MAMDSkilled Nursing Facility

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1215280789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BRISTOL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612118",
            "telephone_number": "508-493-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BRISTOL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612118",
            "telephone_number": "508-493-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "KATRINA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D., LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3339",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042768252",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; 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.