Individual provider Active NPI

Katherine Patterson Maloney, PHD

  • Nutritionist
  • Raleigh, NC
National Provider Identifier
1588532071
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NU000033 Issued in NC
Practice address
920 Paverstone Dr Ste B
Raleigh, NC 27615-4723
Phone
(919) 410-7625
Fax
(800) 506-0634
NPI assigned
Oct 27, 2025
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU000033 NC Primary

Addresses

Primary practice location

920 Paverstone Dr Ste B
Raleigh, NC 27615-4723

Mailing address

1910 Cedar Dam LN
Wendell, NC 27591-6886
Phone (919) 410-7625

Other practice location 1

1910 Cedar Dam Ln
Wendell, NC 27591-6886
Phone (919) 410-7625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260413001164 NC Practitioner - Registered Dietitian Or Nutrition Professional 6709351265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1910 Cedar Dam LN
Wendell, NC 27591-6886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NU000033NCMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish With Science Nutritionist CurrentSince Nov 8, 2025 Accepting new patients

Locations

920 Paverstone Dr
Ste B
Raleigh, NC 27615
Phone (919) 228-8501

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1588532071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CEDAR DAM LN",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916886",
            "telephone_number": "919-410-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PAVERSTONE DR STE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154723",
            "telephone_number": "919-410-7625",
            "fax_number": "800-506-0634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Cedar Dam Ln",
            "address_purpose": "LOCATION",
            "city": "Wendell",
            "state": "NC",
            "postal_code": "275916886",
            "country_code": "US",
            "telephone_number": "919-410-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "KATHERINE",
        "middle_name": "PATTERSON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "NU000033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.