Kathryn Noel Misenheimer, MS, RD, LDN, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DX4420 Issued in MD

Practice address

185 Harry S Truman Pkwy Ste 120
Annapolis, MD 21401-7580

Phone

(410) 224-4553

Fax

(410) 224-8898

NPI assigned

May 26, 2016

Last updated

Dec 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Kathryn Noel Grier Former name

Medicare fee-for-service enrollment

Enrolled in MD, TX, DC3 enrollments

Enrollment records 3

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.45 of 100Reported as group

Quality

67.28

Promoting interoperability

98

Improvement activities

40

Cost

72.57

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Luminis Health Medical Group, LLC

  dba Luminis Health Maternal and Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Annapolis, MD
  • NPI 1073580205
  Medicare reassignment Care Compare group NPD
• Luminis Health Medical Group, LLC

  dba Annapolis Surgical Oncology Associates

  • Surgery Physician
  • Annapolis, MD
  • NPI 1649248485

  DC

  Medicare reassignment NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD
• Luminis Health Medical Group, LLC

  dba Anne Arundel Medical Group - Cardiology Specialists

  • Cardiovascular Disease Physician
  • Clinton, MD
  • NPI 1265852750
  NPD
• Luminis Health Medical Group, LLC

  dba Waugh Chapel Family Medicine

  • Family Medicine Physician
  • Gambrills, MD
  • NPI 1982671103
  NPD
• Luminis Health Medical Group, LLC

  dba AAMC Community Health Center

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1477862308
  NPD (past)

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1881042281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 OLD BIGHT CT",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372606",
            "telephone_number": "704-962-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HARRY S TRUMAN PKWY STE 120",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017580",
            "telephone_number": "410-224-4553",
            "fax_number": "410-224-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28438 Marlboro Ave",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216012732",
            "country_code": "US",
            "telephone_number": "410-224-4442",
            "fax_number": "410-244-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4175 N Hanson Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163181",
            "country_code": "US",
            "telephone_number": "410-224-4442",
            "fax_number": "410-244-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISENHEIMER",
        "first_name": "KATHRYN",
        "middle_name": "NOEL",
        "credential": "MS, RD, LDN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004643",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHEILD",
            "identifier": "261745725",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "261745725",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "GRIER",
            "middle_name": "NOEL",
            "credential": "MS, RD, LDN, CDCES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Amanda Nicole Minnitte, PTA
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• Sarah Renee Miranti, LCPC
• Virginia Kay Mirenzi, RD
• Rahul Mishra, MD
• Misty Lee Wray MD LLC
• Gregory Alan Mitchell, M.D., PA
• Susan Mitchell, PTGCS
• Victoria Ann Mitchell, MED, MPT

• Registered Dietitian in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.