Active NPI
Kayleen St.John, MS, RD
- Nutritionist
- Hoboken, NJ
National Provider Identifier
1407230170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1098242
- Practice address
- 635 6TH St Apt 5C
Hoboken, NJ 07030-2365 - Phone
- (860) 604-4723
- NPI assigned
- Jul 13, 2015
- Last updated
- Jul 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1098242 | NY | Primary |
Addresses
Primary practice location
635 6TH St Apt 5C
Hoboken, NJ 07030-2365
Mailing address
635 6TH St Apt 5C
Hoboken, NJ 07030
Phone (860) 604-4723
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1098242 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1407230170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 6TH ST APT 5C",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "07030",
"telephone_number": "860-604-4723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 6TH ST APT 5C",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070302365",
"telephone_number": "860-604-4723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST.JOHN",
"first_name": "KAYLEEN",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "1098242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.