Kathleen L Dooley, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

11832 Issued in MI

Practice address

24 Frank Lloyd Wright Dr.
PO Box 0446 Lobby J
Ann Arbor, MI 48106-0446

Phone

(734) 747-6766

Fax

(734) 222-3100

NPI assigned

Jan 24, 2007

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 MI

Enrollment records 1

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 and National Provider Directory roles.

• Iha Health Services Corporation

  dba IHA Canton Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Canton, MI
  • NPI 1457408965
  Medicare reassignment NPD
• Iha Health Services Corporation

  dba IHA Domino's Farms Primary Care

  • Internal Medicine Physician
  • Ann Arbor, MI
  • NPI 1376690883
  NPD
• Iha Health Services Corporation

  dba IHA Ann Arbor OB /Gyn

  • Obstetrics & Gynecology Physician
  • Ann Arbor, MI
  • NPI 1235286840
  NPD (past)
• St Mary Mercy Hospital

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1790706901
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639224280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36475 5 MILE RD",
            "address_2": "COMMUNITY OUTREACH DEPT.",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-8956",
            "fax_number": "734-655-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR.",
            "address_2": "PO BOX 0446 LOBBY J",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481060446",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36475 5 Mile Rd",
            "address_2": "Community Outreach Dept.",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541971",
            "country_code": "US",
            "telephone_number": "734-655-8956",
            "fax_number": "734-655-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "11832",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siobhan Patricia Donnelly, LMSW
• Dana Michelle Donohoe, RN
• Caitlin Elizabeth Donovan, AUD
• Joanne D Donovan, RN
• Suzanne Larae Dooley-Hash, MD
• Mary Dooley
• Sofia Doolittle
• Door Step Podiatry PLLC
• Door Step Podiatry PLLC
• Megan Elyse-Murray Doot, NP

• Registered Dietitian in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.