Katherine Nicole Gwin, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN0000004549 Issued in TN

Practice address

405 Martinique CV
Niceville, FL 32578-3832

Phone

(850) 687-5615

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, DC, CO, AZ, AR, TX6 enrollments

Enrollment records 6

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surely Health IncGroup PAC ID 3072960491, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Surely Health, Inc.

  dba Season Health

  • Registered Dietitian
  • Irving, TX
  • NPI 1053078360

  AZ, Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Season Clinical Care NJ PC

  dba Season Health

  • Registered Dietitian
  • Parsippany, NJ
  • NPI 1700693348

  Dietitian, Registered

  Medicare reassignment NPD
• Season Clinical Care P.a.

  dba Season Health

  • Registered Dietitian
  • Irving, TX
  • NPI 1649933565

  AR, AZ, CO, DC, Dietitian, Registered

  Medicare reassignment NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Mochi Medical Ca PC

  dba Mochi Medical West

  • Obesity Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1174303374
  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)
• Saint Francis Medical Center

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1578513016
  NPD (past)
• Vedic Nutrition LLC

  dba Vedic

  • Registered Dietitian
  • Austin, TX
  • NPI 1306691779

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1528846052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MARTINIQUE CV",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783832",
            "telephone_number": "850-687-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MARTINIQUE CV",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783832",
            "telephone_number": "850-687-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWIN",
        "first_name": "KATHERINE",
        "middle_name": "NICOLE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND6642",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000004549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Ray Grosskopf, LPTA
• Irene Salgado Guernsey, RN
• Giselle Guilles
• Gulf Coast Dental LLC
• Gulf Coast Dermatology & Skin Care Centre PLLC
• H-Bay Ministries, Inc. (Superior Residences of Niceville)
• Amanda Haag
• Meltem Haktanir Ozkok, PHARMACIST
• Kerry Halbert
• Gary Wayne Hall, D.D.S.

• Registered Dietitian in Niceville, FL
• Providers in Niceville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.