Sara Caitlin Kitchen Koch, MPH, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD005262 Issued in GA

Practice address

304 Turner McCall Blvd SW
Rome, GA 30165-5621

Phone

(706) 509-6090

NPI assigned

Jan 10, 2022

Last updated

Jan 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ckoch@floyd.org

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1477204618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 AUTUMN PL NE",
            "city": "WHITE",
            "state": "GA",
            "postal_code": "301842776",
            "telephone_number": "678-372-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "706-509-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "SARA",
        "middle_name": "CAITLIN KITCHEN",
        "name_prefix": "Mrs.",
        "credential": "MPH, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ckoch@floyd.org",
            "affiliation": "Y",
            "endpointDescription": "Work email address",
            "affiliationName": "Morrison Healthcare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct questions from patients",
            "address_1": "18 Emerald Street",
            "city": "Wrentham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Clay Knaak, M.D.
• Benjamin William Knaak, D.M.D.
• Menta Michelle Knight
• Robert Knight, MD
• Heather Knowles, MS.CCC-SLP
• Priyanka Kodali, MD
• Pepa Koleva, FNP-C
• Mary Jo Koller, FNP-BC
• Kondyles Chiropractic PC
• Andrew N Kondyles, DC

• Registered Dietitian in Rome, GA
• Providers in Rome, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.