Individual provider Active NPI

Kathryn Lee Stowers, PHD, RD, LD

  • Sports Dietetics Nutrition Registered Dietitian
  • Auburn, AL
National Provider Identifier
1457166647
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
License
2924 Issued in AL
Practice address
1900 Samford Trace CT Apt 1108
Auburn, AL 36830-6537
Phone
(401) 569-5615
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2924 AL
Sports Dietetics Nutrition Registered Dietitian 133VN1501X 2924 AL Primary

Addresses

Primary practice location

1900 Samford Trace CT Apt 1108
Auburn, AL 36830-6537

Mailing address

1900 Samford Trace CT Apt 1108
Auburn, AL 36830-6537
Phone (401) 569-5615

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2924ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1457166647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SAMFORD TRACE CT APT 1108",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306537",
            "telephone_number": "401-569-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SAMFORD TRACE CT APT 1108",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306537",
            "telephone_number": "401-569-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWERS",
        "first_name": "KATHRYN",
        "middle_name": "LEE",
        "credential": "PHD, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "2924",
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "AL",
            "license": "2924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.