Active NPI
Sandra Kane, MS, RDN, LDN
- Registered Dietitian
- Eldersburg, MD
National Provider Identifier
1376186767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D02289
- Practice address
- 1912 Liberty Rd SPC 23
Eldersburg, MD 21784-6690 - Phone
- (443) 472-6802
- NPI assigned
- Oct 18, 2019
- 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 | D02289 | MD | Primary |
Addresses
Primary practice location
1912 Liberty Rd SPC 23
Eldersburg, MD 21784-6690
Mailing address
2109 Cottage Hill CT
Eldersburg, MD 21784-7382
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D02289 | MD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1376186767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 COTTAGE HILL CT",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217847382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 LIBERTY RD SPC 23",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846690",
"telephone_number": "443-472-6802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "SANDRA",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-18",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "D02289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eldersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.