Katherine Dobis

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

3881 Renee Dr
Myrtle Beach, SC 29579-4110

Phone

(843) 957-9482

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kay Dobis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1871023754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 WACOBEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795227",
            "telephone_number": "843-957-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3881 RENEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794110",
            "telephone_number": "843-957-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBIS",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "DOBIS",
            "credential": "MS, CNS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Nutritionist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Nutritionist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.