Katherine O'Shea

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

176 Hulburt Rd
Fairport, NY 14450-2473

Phone

(585) 905-1490

NPI assigned

Aug 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nourished With Emily LLC

  • Registered Dietitian
  • East Syracuse, NY
  • NPI 1902526239

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1396465449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DELANCEY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100022824",
            "telephone_number": "585-905-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 HULBURT RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502473",
            "telephone_number": "585-905-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86293471",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Elizabeth O'Connor, OTR/L
• Danielle M O'Neill, M.S., C.A.S.
• Ellen Mary O'Neill
• Aimee M O'Reilly, M.S.ED
• Erica Casey O'Rourke
• Tracy S O'Shea, MS ED
• Julieanne Oberholzer
• Hillary R. Ocasio, LPN
• Catherine Oinen
• Kristin Marie Olbrich, OTR/L

• Registered Dietitian in Fairport, NY
• Providers in Fairport, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.