Kathleen A Zager, M.S., R.D., L.D.

Key facts

NPI

1720237019

Entity type

Individual (NPI type 1)

Primary specialty

Registered Dietitian 133V00000X

License

164.001306 (IL)

Practice address

13245 Kessler Rd
Cairo, IL 62914-3101

Phone

(618) 734-4400

Fax

(618) 734-2884

NPI assigned

Sep 11, 2008

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 4, 2008.

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1720237019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 KESSLER RD",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629143101",
            "telephone_number": "618-734-4400",
            "fax_number": "618-734-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 KESSLER RD",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629143101",
            "telephone_number": "618-734-4400",
            "fax_number": "618-734-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGER",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.001306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Cairo, IL · Registered Dietitian in Illinois