Individual provider Active NPI

Kathleen Siegel, MS, RDN, CDN, DIPACL

  • Registered Dietitian
  • Warren, NJ
National Provider Identifier
1720949274
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
006746-01 Issued in NY
Practice address
24 Old Dutch Rd
Warren, NJ 07059-7164
Phone
(732) 882-3218
NPI assigned
Nov 22, 2025
Last updated
Nov 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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 006746-01 NY Primary

Addresses

Primary practice location

24 Old Dutch Rd
Warren, NJ 07059-7164

Mailing address

24 Old Dutch Rd
Warren, NJ 07059-7164
Phone (732) 882-3218

Other practice location 1

82 Cold Spring Point Rd
Southampton, NY 11968-3504
Phone (732) 882-3218

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
006746-01NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1763769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1720949274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 OLD DUTCH RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070597164",
            "telephone_number": "732-882-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 OLD DUTCH RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070597164",
            "telephone_number": "732-882-3218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Cold Spring Point Rd",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119683504",
            "country_code": "US",
            "telephone_number": "732-882-3218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "KATHLEEN",
        "credential": "MS, RDN, CDN, DIPACL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-22",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006746-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2025; 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.