Individual provider Active NPI

Kathryn Nelson, RD, LD

  • Registered Dietitian
  • Portsmouth, NH
National Provider Identifier
1639615651
Registry record updated Jan 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0739 Issued in NH
Practice address
15 Rye St
Portsmouth, NH 03801-6829
Phone
(617) 531-9149
NPI assigned
Jan 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 0739 NH Primary

Addresses

Primary practice location

15 Rye St
Portsmouth, NH 03801-6829

Mailing address

15 Rye St
Portsmouth, NH 03801-6829

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1134NMMDClinical Psychologist
1673ARMDSpeech-Language Pathologist
4278MAMDSpeech-Language Pathologist
0739NHMDSpeech-Language Pathologist
1087WVMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1484352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484352000000",
    "number": "1639615651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RYE ST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RYE ST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016829",
            "telephone_number": "617-531-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KATHRYN",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-14",
        "last_updated": "2017-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "0739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.