Active NPI
Katrin Kalo Lee, RD, CDN
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1851643563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1034217
- Practice address
- 22 N 6TH St
20I
Brooklyn, NY 11249-3075 - Phone
- (646) 262-5445
- NPI assigned
- Oct 4, 2012
- 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 | 1034217 | NY | Primary |
Addresses
Primary practice location
22 N 6TH St
20I
Brooklyn, NY 11249-3075
Mailing address
22 N 6TH St
20I
Brooklyn, NY 11249-3075
Phone (646) 262-5445
Other names 1
- Kalo Lee
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1034217 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Nutrition Nyc | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1851643563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 N 6TH ST",
"address_2": "20I",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112493075",
"telephone_number": "646-262-5445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 N 6TH ST",
"address_2": "20I",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112493075",
"telephone_number": "646-262-5445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KATRIN",
"middle_name": "KALO",
"credential": "RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1034217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KALO",
"last_name": "LEE",
"credential": "RD, CDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.