Active NPI
Katherine Graves, RDN
- Registered Dietitian
- Columbus, MS
National Provider Identifier
1225602873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1049830
- Practice address
- 2092 Hairston Bend Rd
Columbus, MS 39702-7330 - Phone
- (662) 386-9012
- NPI assigned
- May 18, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1049830 | MS | Primary |
Addresses
Primary practice location
2092 Hairston Bend Rd
Columbus, MS 39702-7330
Mailing address
2092 Hairston Bend Rd
Columbus, MS 39702-7330
Other names 1
- Kathy Graves
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1049830 | MS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Mochi Medical Ca PC | Past | Accepting new patients |
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.
-
dba Mochi Medical West
- Obesity Medicine (Family Medicine) Physician
- San Francisco, CA
- NPI 1174303374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1225602873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2092 HAIRSTON BEND RD",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397027330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2092 HAIRSTON BEND RD",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397027330",
"telephone_number": "662-386-9012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "KATHERINE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "1049830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "GRAVES",
"credential": "RD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.