Active NPI
Kathleen Woolf, PHD, RD
- Registered Dietitian
- Phoenix, AZ
National Provider Identifier
1831410117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0713391
- Practice address
- 1920 E. Cambridge Ave, Suite 301
Arizona Pediatric Cardiology Consultants
Phoenix, AZ 85006 - Phone
- (480) 215-9981
- NPI assigned
- Jun 21, 2010
- 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 | 0713391 | AZ | Primary |
Addresses
Primary practice location
1920 E. Cambridge Ave, Suite 301
Arizona Pediatric Cardiology Consultants
Phoenix, AZ 85006
Mailing address
PO Box 14148
Woolf Nutrition, LLC
Mesa, AZ 85216
Phone (480) 215-9981
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0713391 | AZ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1831410117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14148",
"address_2": "WOOLF NUTRITION, LLC",
"city": "MESA",
"state": "AZ",
"postal_code": "85216",
"telephone_number": "480-215-9981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 E. CAMBRIDGE AVE, SUITE 301",
"address_2": "ARIZONA PEDIATRIC CARDIOLOGY CONSULTANTS",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85006",
"telephone_number": "480-215-9981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLF",
"first_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "PHD, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "0713391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.