Individual provider Active NPI

Katie A Badger, RDN, LDN

  • Registered Dietitian
  • Chelmsford, MA
National Provider Identifier
1386107852
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4611 Issued in MA
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

Updated by the provider on Aug 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200306001067 MA Practitioner - Registered Dietitian Or Nutrition Professional 7113355017 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4611MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Everybody Nutrition Counseling, LLC Dietitian, Registered CurrentSince Aug 18, 2024 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.

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.

Verify at the official NPI Registry.