Active NPI
Katie A Badger, RDN, LDN
- Registered Dietitian
- Chelmsford, MA
National Provider Identifier
1386107852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4611
- Practice address
- 83 Parkhurst Rd Ste 12
Chelmsford, MA 01824-1500 - Phone
- (978) 764-0968
- NPI assigned
- Apr 10, 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 | 4611 | MA | Primary |
Addresses
Primary practice location
83 Parkhurst Rd Ste 12
Chelmsford, MA 01824-1500
Mailing address
265 Chelmsford Street Ste 7
#1054
Chelmsford, MA 01824
Phone (978) 764-0968
Other practice location 1
161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700
Other names 1
- Katie A Mindess
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4611 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everybody Nutrition Counseling, LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
265 Chelmsford St
Ste 7
Chelmsford, MA 01824
Phone (603) 255-7076
83 Parkhurst Rd
Ste 12
Chelmsford, MA 01824
Phone (978) 764-0968
Organizations & group practices 3
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.
-
- Registered Dietitian
- Chelmsford, MA
- NPI 1962234153
Dietitian, Registered
-
- Federally Qualified Health Center (FQHC)
- Lowell, MA
- NPI 1952307530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1386107852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 CHELMSFORD STREET STE 7",
"address_2": "#1054",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "01824",
"telephone_number": "978-764-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 PARKHURST RD STE 12",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018241500",
"telephone_number": "978-764-0968"
}
],
"practiceLocations": [
{
"address_1": "161 Jackson St",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "MA",
"postal_code": "018522103",
"country_code": "US",
"telephone_number": "978-937-9700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BADGER",
"first_name": "KATIE",
"middle_name": "A",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "MINDESS",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.