Organization Active NPI

Kate Brock Nutrition

  • Nutritionist
  • Washington, DC
National Provider Identifier
1629804943
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
KATE BROCK NUTRITION
Practice address
100 M St SE Ste 669
Washington, DC 20003-3519
Phone
(832) 244-5283
NPI assigned
Sep 12, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Katherine BrockNPI 1841954070
Title
Owner
Phone
(832) 244-5283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

100 M St SE Ste 669
Washington, DC 20003-3519

Mailing address

150 I St SE Apt 827
Washington, DC 20003-4993
Phone (832) 244-5283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250623004078 DC Part B Supplier - Clinic/Group Practice 4688186919 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

100 M St SE
Ste 669
Washington, DC 20003
Phone (832) 244-5283

150 I St SE
Ste 105
Washington, DC 20003

150 I St SE
Ste 108
Washington, DC 20003
Phone (301) 842-8492

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1629804943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 I ST SE APT 827",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034993",
            "telephone_number": "832-244-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 M ST SE STE 669",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033519",
            "telephone_number": "832-244-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE BROCK NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-244-5283"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.