Active NPI
Katelyn Marie Fougere, RD
- Registered Dietitian
- Newington, NH
National Provider Identifier
1568098127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1082
- Practice address
- 2299 Woodbury Ave
Newington, NH 03801-7854 - Phone
- (603) 671-3441
- NPI assigned
- Mar 16, 2020
- 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 | 4744 | MA | |
| Registered Dietitian | 133V00000X | 1082 | NH | Primary |
Addresses
Primary practice location
2299 Woodbury Ave
Newington, NH 03801-7854
Mailing address
140 Cass St Unit E
Portsmouth, NH 03801-4956
Phone (617) 827-9333
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4744 | MA | MD | Clinical Psychologist |
| 1082 | NH | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1568098127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 CASS ST UNIT E",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014956",
"telephone_number": "617-827-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2299 WOODBURY AVE",
"city": "NEWINGTON",
"state": "NH",
"postal_code": "038017854",
"telephone_number": "603-671-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUGERE",
"first_name": "KATELYN",
"middle_name": "MARIE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-16",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4744",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "1082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newington, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.