Active NPI
Kathryn Wrenn-Kleiman, RD LD
- Registered Dietitian
- Manchester, NH
National Provider Identifier
1730238346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 207
- Practice address
- 1245 Elm St
Manchester, NH 03101-1308 - Phone
- (603) 668-6629
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 207 | NH | Primary |
Addresses
Primary practice location
1245 Elm St
Manchester, NH 03101-1308
Mailing address
36 Mathes Hill Dr
Dover, NH 03820-4492
Phone (603) 767-7016
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207 | NH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730238346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 MATHES HILL DR",
"city": "DOVER",
"state": "NH",
"postal_code": "038204492",
"telephone_number": "603-767-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 ELM ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011308",
"telephone_number": "603-668-6629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRENN-KLEIMAN",
"first_name": "KATHRYN",
"credential": "RD LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
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.