Katherine McKenna Mathews, RDN, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

010311 Issued in NY

Practice address

2 Coulter Rd Ste 1620
Clifton Springs, NY 14432-1122

Phone

(315) 462-1530

NPI assigned

Dec 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clifton Springs Sanitarium Company

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1730585522
  NPD (past)
• Western New York Medical Practice P.C.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1063790608
  NPD (past)

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1700654480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 STATE ROUTE 245",
            "city": "STANLEY",
            "state": "NY",
            "postal_code": "145619568",
            "telephone_number": "607-857-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COULTER RD STE 1620",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-462-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "KATHERINE",
        "middle_name": "MCKENNA",
        "credential": "RDN, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lynne Maloney, RNFA
• Kelly Ann Maloney
• Sylvia Todd Manly, RPH
• Stacy A Marotta, NP
• Mary Maskrey, MS OTR/L CLT
• Michelle McGlory-Whyte, LCSW
• Richard Jude McGowan, R.PH.
• Janell Anthony McLawrence, RN
• Allen Melody, LMSW
• Tracy Meltzer

• Registered Dietitian in Clifton Springs, NY
• Providers in Clifton Springs, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.