Individual provider Active NPI

Kathryn Alie Langbehn, MS, RDN, CPT, PN1

  • Registered Dietitian
  • Williamsburg, VA
National Provider Identifier
1679031652
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
859055 Issued in VA
Practice address
1309 Jamestown Rd Ste 102
Williamsburg, VA 23185-3380
Phone
(757) 566-3441
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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 859055 VA Primary

Addresses

Primary practice location

1309 Jamestown Rd Ste 102
Williamsburg, VA 23185-3380

Mailing address

1502 Rustads Cir
Williamsburg, VA 23188-1131
Phone (757) 603-1187

Other names 1

  • Ms. Kathryn Elizabegth Alie Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624001868 VA Practitioner - Registered Dietitian Or Nutrition Professional 2860726957 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
859055VAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lwell LLC Dietitian, Registered CurrentSince Jun 1, 2019 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Locations

1309 Jamestown Rd
Ste 102
Williamsburg, VA 23185
Phone (757) 220-4917

3705 Strawberry Plains Rd
Ste B
Williamsburg, VA 23188

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1679031652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 RUSTADS CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881131",
            "telephone_number": "757-603-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 JAMESTOWN RD STE 102",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853380",
            "telephone_number": "757-566-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGBEHN",
        "first_name": "KATHRYN",
        "middle_name": "ALIE",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, CPT, PN1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "859055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ALIE",
            "middle_name": "ELIZABEGTH",
            "prefix": "MS.",
            "credential": "MS, RND, CPT, PN1",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.