Active NPI
Catherine Ann Vandygriff
- Registered Dietitian
- Jacksonville, FL
National Provider Identifier
1306597620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 9702
- Practice address
- 2001 Hodges Blvd Apt 1011
Jacksonville, FL 32224-3042 - Phone
- (618) 946-1261
- NPI assigned
- Jan 18, 2022
- 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 | 9702 | FL | Primary |
Addresses
Primary practice location
2001 Hodges Blvd Apt 1011
Jacksonville, FL 32224-3042
Mailing address
2001 Hodges Blvd Apt 1011
Jacksonville, FL 32224-3042
Phone (618) 946-1261
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 |
|---|---|---|---|
| 9702 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1306597620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 HODGES BLVD APT 1011",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322243042",
"telephone_number": "618-946-1261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 HODGES BLVD APT 1011",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322243042",
"telephone_number": "618-946-1261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDYGRIFF",
"first_name": "CATHERINE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-18",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "9702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.