Active NPI
Katherine Kelley Endris, MS, RDN, LD
- Registered Dietitian
- Mobile, AL
National Provider Identifier
1518764828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5148
- Practice address
- 406 Coventry Way
Mobile, AL 36606-4723 - Phone
- (901) 484-9505
- NPI assigned
- Feb 26, 2025
- 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 | 2687 | MS | |
| Registered Dietitian | 133V00000X | 5148 | AL | Primary |
Addresses
Primary practice location
406 Coventry Way
Mobile, AL 36606-4723
Mailing address
406 Coventry Way
Mobile, AL 36606-4723
Phone (901) 484-9505
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2687 | MS | MD | Registered Dietitian |
| 5148 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1740528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1518764828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 COVENTRY WAY",
"city": "MOBILE",
"state": "AL",
"postal_code": "366064723",
"telephone_number": "901-484-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 COVENTRY WAY",
"city": "MOBILE",
"state": "AL",
"postal_code": "366064723",
"telephone_number": "901-484-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDRIS",
"first_name": "KATHERINE",
"middle_name": "KELLEY",
"name_prefix": "Mrs.",
"credential": "MS, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-26",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "2687",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "5148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.