Individual provider Active NPI

Kathryn Megan Scarlata, KATE SCARLATA

  • Nutritionist
  • West Roxbury, MA
National Provider Identifier
1730230202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1288 Issued in MA
Practice address
1832 Centre St
West Roxbury, MA 02132-1901
Phone
(508) 740-2956
NPI assigned
Jan 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1288 MA Primary

Addresses

Primary practice location

1832 Centre St
West Roxbury, MA 02132-1901

Mailing address

11 Pine St
Medway, MA 02053-1113
Phone (508) 533-3190

Other identifiers 4

IdentifierTypeStateIssuer
39440OtherMAHARVARD PILGRIM
LD0103OtherMABLUE CROSS BLUE SHIELD
799235OtherMATUFTS HEALTH PLAN
LDN1288OtherMAMASS. LICENSE

Other names 1

  • Ms. Kate Megan Scarlata Former name

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
1288MAMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730230202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PINE ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531113",
            "telephone_number": "508-533-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321901",
            "telephone_number": "508-740-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARLATA",
        "first_name": "KATHRYN",
        "middle_name": "MEGAN",
        "name_prefix": "Ms.",
        "credential": "KATE SCARLATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MA",
            "license": "1288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "39440",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LD0103",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "799235",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS. LICENSE",
            "identifier": "LDN1288",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "SCARLATA",
            "middle_name": "MEGAN",
            "prefix": "MS.",
            "credential": "KATE SCARLATA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.