Active NPI
Kathryn Whitfield Simons, MED, RD, LDN
- Registered Dietitian
- Roxboro, NC
National Provider Identifier
1841428158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L000595
- Practice address
- 636 Hillhaven Ter
Roxboro, NC 27573-4620 - Phone
- (336) 504-3989
- NPI assigned
- Jun 24, 2009
- 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 | L000595 | NC | Primary |
Addresses
Primary practice location
636 Hillhaven Ter
Roxboro, NC 27573-4620
Mailing address
636 Hillhaven Ter
Roxboro, NC 27573-4620
Phone (336) 504-3989
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L000595 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1841428158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 HILLHAVEN TER",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734620",
"telephone_number": "336-504-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 HILLHAVEN TER",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734620",
"telephone_number": "336-504-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "KATHRYN",
"middle_name": "WHITFIELD",
"name_prefix": "Mrs.",
"credential": "MED, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L000595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.