Individual provider Active NPI

Katherine Arvia Breen Piedmonte, RD, LD, MS

  • Registered Dietitian
  • Fishers, IN
National Provider Identifier
1760159909
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37003317A Issued in IN
Practice address
12708 E 116TH St
Fishers, IN 46037-7600
Phone
(317) 415-5800
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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 37003317A IN Primary

Addresses

Primary practice location

12708 E 116TH St
Fishers, IN 46037-7600

Mailing address

12708 E 116TH St
Fishers, IN 46037-7600

Other practice location 1

7114 Braxton Dr
Noblesville, IN 46062-8134
Phone (815) 545-4562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240316000109 IN Practitioner - Registered Dietitian Or Nutrition Professional 8426494105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

12708 E 116TH St
Fishers, IN 46037-7600
Phone (317) 415-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
37003317AINMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Raphael Health Center, Inc CurrentSince Feb 11, 2024 Accepting new patients
Raphael Health Center, Inc CurrentSince Feb 11, 2024 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 26, 2024 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 26, 2024 Accepting new patients
Raphael Health Center, Inc CurrentSince Feb 11, 2024 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

12708 E 116th St
Fishers, IN 46037
Phone (317) 415-5800

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

401 E 34th St
Indianapolis, IN 46205
Phone (317) 926-1507

711 E Washington St
Indianapolis, IN 46202
Phone (317) 226-4248

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDCGDD
  • Direct secure messaging: katherine.piedmonte.1@7598.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1760159909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12708 E 116TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12708 E 116TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377600",
            "telephone_number": "317-415-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7114 Braxton Dr",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460628134",
            "country_code": "US",
            "telephone_number": "815-545-4562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIEDMONTE",
        "first_name": "KATHERINE",
        "middle_name": "ARVIA BREEN",
        "credential": "RD, LD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37003317A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.