Kathryn Zacheretti Spottswood, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

60731654 Issued in WA

Practice address

10222 167TH PL NE
Redmond, WA 98052-3124

Phone

(901) 355-0034

NPI assigned

Nov 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Ann Zacheretti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1457865826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 167TH PL NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523124",
            "telephone_number": "901-355-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 167TH PL NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523124",
            "telephone_number": "901-355-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOTTSWOOD",
        "first_name": "KATHRYN",
        "middle_name": "ZACHERETTI",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "60731654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ZACHERETTI",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lary Gene Spiller, DC
• Spine Performance and Rehabilitation Center
• Rachel Diane Spint
• Grace Anne Sporer, BCBA
• Mary E Spores
• Joel Benjamin Spring, DPT
• Sophia Louise Springstead
• Manpreet Singh Sran, MD
• Varsha Sridhar, MD
• Geetha Sridharan, M.D, MPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.