Active NPI
Katherine Mashburn Godin, RD, LDN
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1427465202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003089
- Practice address
- 1520 Sunday Dr
Raleigh, NC 27607-5253 - Phone
- (919) 354-7077
- NPI assigned
- Jul 14, 2014
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L003089 | NC | Primary |
| Registered Dietitian | 133V00000X |
Addresses
Primary practice location
1520 Sunday Dr
Raleigh, NC 27607-5253
Mailing address
1520 Sunday Dr Ste 309
Raleigh, NC 27607-5254
Phone (919) 354-7077
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT1028 | Medicaid | SC | |
| 1427465202 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L003089 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1427465202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 SUNDAY DR STE 309",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276075254",
"telephone_number": "919-354-7077",
"fax_number": "919-354-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SUNDAY DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276075253",
"telephone_number": "919-354-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODIN",
"first_name": "KATHERINE",
"middle_name": "MASHBURN",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003089",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DT1028",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427465202",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.