Mary Kathryn Edwards, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

074.0134384 Issued in VT

Practice address

70 S Winooski Ave Ste 2C
Burlington, VT 05401-3969

Phone

(802) 861-1200

NPI assigned

Jan 23, 2023

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1497460554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 FOSTER FARM RD",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056725073",
            "telephone_number": "706-338-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S WINOOSKI AVE STE 2C",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013969",
            "telephone_number": "802-861-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "074.0134384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234567",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James East, MD
• Elissa A. Eaton, DMD, MS
• Luke J Eaton, CAA
• Birgit Eckstrom, DPT
• John Ray Edwards, M.D.
• Ania Marie Egan, RDN
• Gregory Lawrence Ehle, MMSC, PA-C
• Danielle Eileen Yerdon Ehret, M.D.
• Julie Melissa Ehrlich, MD
• Tory Redfern Eichler, MA, R-DMT

• Registered Dietitian in Burlington, VT
• Providers in Burlington, VT by specialty
• Registered Dietitian in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.