Kathleen Edwards, RD CDN CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000938-1 Issued in NY

Practice address

3365 Peter LN
Yorktown Heights, NY 10598-1923

Phone

(914) 962-3999

Fax

(914) 514-8954

NPI assigned

Jul 31, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Access Medical Group,PC

  • Hematology & Oncology Physician
  • White Plains, NY
  • NPI 1144240680
  NPD (past)
• Nysarc Inc Westchester County Chapter

  • Community/Behavioral Health Agency
  • Hawthorne, NY
  • NPI 1780898643
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1295925774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 PETER LN",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 PETER LN",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981923",
            "telephone_number": "914-962-3999",
            "fax_number": "914-514-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KATHLEEN",
        "credential": "RD CDN CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "000938-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Dodge, CASAC-T
• Linda A Doherty, LPN
• Diana Doscas, OD
• Rose Eilonwy Dulude, MA, CCC-A
• Judy Dawn Edelson
• Katherine Ehrmann, DDS
• Rebecca Lee Eklund, LMHC, CASAC
• Elevate Holding Company, LLC
• Elevate Physical Therapy, PLLC
• Lindsay Ellis

• Registered Dietitian in Yorktown Heights, NY
• Providers in Yorktown Heights, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.