Individual provider Active NPI

Cathryn Williams, RD, LD, CSP

  • Registered Dietitian
  • Chesapeake, VA
National Provider Identifier
1821422494
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86008878 Issued in VA
Practice address
1517 Technology Dr Ste 101
Chesapeake, VA 23320-5985
Phone
(757) 339-3624
NPI assigned
Aug 30, 2013
Last updated
Sep 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT87061 TX
Registered Dietitian 133V00000X DT82878 TX
Registered Dietitian 133V00000X 86008878 VA Primary

Addresses

Primary practice location

1517 Technology Dr Ste 101
Chesapeake, VA 23320-5985

Mailing address

1517 Technology Dr Ste 101
Chesapeake, VA 23320-5985
Phone (757) 339-3624

Other names 1

  • Cathryn Boes 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT82878TXMDRegistered Dietitian
DT87061TXMDRegistered Dietitian
86008878VAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nuleeu Nutrition and Wellness, LLC Dietitian, Registered CurrentSince Sep 12, 2021 Accepting new patients

Locations

1517 Technology Dr
Ste 101
Chesapeake, VA 23320
Phone (757) 339-3624

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1821422494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 TECHNOLOGY DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205985",
            "telephone_number": "757-339-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 TECHNOLOGY DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205985",
            "telephone_number": "757-339-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CATHRYN",
        "credential": "RD, LD, CSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87061",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82878",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86008878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHRYN",
            "last_name": "BOES",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.