Individual provider Active NPI

Kathryn Ruth Dimpfl, CBE, CD

  • Health Educator
  • Ithaca, NY
National Provider Identifier
1407289242
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
717 N Cayuga St
Ithaca, NY 14850-3609
Phone
(917) 613-7865
NPI assigned
Aug 15, 2013
Last updated
Aug 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary
Doula 374J00000X NY

Addresses

Primary practice location

717 N Cayuga St
Ithaca, NY 14850-3609

Mailing address

717 N Cayuga St
Ithaca, NY 14850-3609
Phone (917) 613-7865

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

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1407289242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503609",
            "telephone_number": "917-613-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503609",
            "telephone_number": "917-613-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMPFL",
        "first_name": "KATHRYN",
        "middle_name": "RUTH",
        "credential": "CBE, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.