Catherine Elizabeth Southworth, MS, RD, LMHC-A

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

12304 32ND Ave NE
Seattle, WA 98125-5506

Phone

(206) 588-0936

NPI assigned

Oct 15, 2010

Last updated

Dec 5, 2023By the provider in NPPES

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

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: catherine.southworth@194811229175812.direct.elationemr.com

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1417267022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 S GRACE LN",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267803",
            "telephone_number": "360-927-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 32ND AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255506",
            "telephone_number": "206-588-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWORTH",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "MS, RD, LMHC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61466486",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southgate Medical Clinic, P.S.
• Southwest Pediatrics
• Southwest Youth and Family Services
• Siri Southwick-Young, LMP
• Jensen Southwick
• Kelly Souza, MSOT, OTR/L
• Pamela E Souza, PHD
• Rhadika McCormick Souza, MD
• Samantha Cheyanne Sovich
• Hayley Sowards

• Registered Dietitian in Seattle, WA
• Providers in Seattle, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.