Active NPI
Kathryn Cassellius, MS, RD, LD
- Registered Dietitian
- Garner, NC
National Provider Identifier
1790334886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 876 Timber Dr
Garner, NC 27529-4850 - Phone
- (919) 803-2285
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
876 Timber Dr
Garner, NC 27529-4850
Mailing address
5555 Quail Ave N
Crystal, MN 55429-3254
Phone (763) 412-2823
Other practice location 1
1004 Werrington Dr # 200
Holly Springs, NC 27540-6016
Phone (919) 552-9952
Other practice location 2
1004 Werrington Dr # 200
Holly Springs, NC 27540-6016
Phone (919) 552-9952
Other names 1
- Kathryn Magnuson
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1790334886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 QUAIL AVE N",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554293254",
"telephone_number": "763-412-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "876 TIMBER DR",
"city": "GARNER",
"state": "NC",
"postal_code": "275294850",
"telephone_number": "919-803-2285"
}
],
"practiceLocations": [
{
"address_1": "1004 Werrington Dr # 200",
"address_purpose": "LOCATION",
"city": "Holly Springs",
"state": "NC",
"postal_code": "275406016",
"country_code": "US",
"telephone_number": "919-552-9952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1004 Werrington Dr # 200",
"address_purpose": "LOCATION",
"city": "Holly Springs",
"state": "NC",
"postal_code": "275406016",
"country_code": "US",
"telephone_number": "919-552-9952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASSELLIUS",
"first_name": "KATHRYN",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "MAGNUSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Garner, NC
- Carolina Learning Services, LLC
- Case Back & Neck Care Center, P.a.
- Betsy Lynn Case-Luca, D.C.
- George D Case, D.C.
- Joy W Casey, LPA
- Laura Natalia Castro, LCSW
- Samantha Castro, LMFTA
- Gloria Christine Cave, MSW, LCSW
- CC'S Speech Therapy, PLLC
- Central Carolina Centers for Counseling & Psychological Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.