Active NPI
Kathleen Mary Hamlin, RD, LD
- Registered Dietitian
- Rochester, MN
National Provider Identifier
1356870646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 6126
- Practice address
- 500 Crossroads Dr SW
Rochester, MN 55902-2183 - Phone
- (507) 289-7500
- NPI assigned
- Jun 8, 2017
- 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 | 6126 | MN | Primary |
Addresses
Primary practice location
500 Crossroads Dr SW
Rochester, MN 55902-2183
Mailing address
24711 616TH St
Mantorville, MN 55955-7109
Phone (507) 358-5972
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 |
|---|---|---|---|
| 6126 | MN | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496880000000",
"number": "1356870646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24711 616TH ST",
"city": "MANTORVILLE",
"state": "MN",
"postal_code": "559557109",
"telephone_number": "507-358-5972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CROSSROADS DR SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559022183",
"telephone_number": "507-289-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMLIN",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2017-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "6126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.