Active NPI
Katherine J Irwin, MS, RD, LDN, CNSC
- Registered Dietitian
- Oak Ridge, TN
National Provider Identifier
1407362163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2023
- Practice address
- 990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976 - Phone
- (865) 835-4118
- Fax
- (865) 835-4122
- NPI assigned
- Dec 18, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 2023 | TN | |
| Registered Dietitian | 133V00000X | 2023 | TN | Primary |
Addresses
Primary practice location
990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Mailing address
7420 Stonington LN
Knoxville, TN 37931-1859
Phone (865) 919-5426
Other practice location 1
7420 Stonington Ln
Knoxville, TN 37931-1859
Phone (865) 919-5426
Other names 1
- Kathy J Irwin
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1407362163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7420 STONINGTON LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379311859",
"telephone_number": "865-919-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 OAK RIDGE TPKE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306976",
"telephone_number": "865-835-4118",
"fax_number": "865-835-4122"
}
],
"practiceLocations": [
{
"address_1": "7420 Stonington Ln",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379311859",
"country_code": "US",
"telephone_number": "865-919-5426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRWIN",
"first_name": "KATHERINE",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MS, RD, LDN, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "TN",
"license": "2023",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "2023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "IRWIN",
"middle_name": "J",
"credential": "MS, RD, LDN, CNSC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.