Individual provider Active NPI

Katharine Zimmer Markham, RDN

  • Registered Dietitian
  • Missoula, MT
National Provider Identifier
1255958112
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
88245 Issued in MT
Practice address
725 W Alder St Ste 28
Missoula, MT 59802-4026
Phone
(406) 239-0078
Fax
(833) 803-1538
NPI assigned
Jun 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 88245 MT Primary

Addresses

Primary practice location

725 W Alder St Ste 28
Missoula, MT 59802-4026

Mailing address

725 W Alder St Ste 28
Missoula, MT 59802-4026
Phone (406) 239-3336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728003192 MT Practitioner - Registered Dietitian Or Nutrition Professional 4688099377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88245MTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Nutrition LLC Dietitian, Registered CurrentSince Jun 22, 2020 Accepting new patients

Locations

725 W Alder St
Ste 28
Missoula, MT 59802
Phone (406) 239-0078

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1255958112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W ALDER ST STE 28",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024026",
            "telephone_number": "406-239-3336",
            "fax_number": "833-803-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W ALDER ST STE 28",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024026",
            "telephone_number": "406-239-0078",
            "fax_number": "833-803-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "KATHARINE",
        "middle_name": "ZIMMER",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "88245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.