Active NPI
Kathleen Reilly Nutrition LLC
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1366035974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- KATHLEEN REILLY NUTRITION LLC
- Practice address
- 420 Kent Ave Apt PH21
Brooklyn, NY 11249-5665 - Phone
- (516) 509-8025
- NPI assigned
- Feb 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Wright, RD, LDN
- Title
- Registered Dietitian
- Phone
- (516) 509-8025
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
420 Kent Ave Apt PH21
Brooklyn, NY 11249-5665
Mailing address
420 Kent Ave Apt PH21
Brooklyn, NY 11249-5665
Phone (516) 509-8025
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613347200000",
"number": "1366035974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 KENT AVE APT PH21",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112495665",
"telephone_number": "516-509-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 KENT AVE APT PH21",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112495665",
"telephone_number": "516-509-8025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHLEEN REILLY NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "516-509-8025",
"authorized_official_credential": "RD, LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.