Kathryn Burkley

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

813449

Practice address

210 S. Palisade Dr.
Suite 200
Buellton, CA 93427

Phone

(805) 739-3900

NPI assigned

Jun 28, 2006

Last updated

Jun 29, 2021By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1912934373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E MAIN ST STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S. PALISADE DR.",
            "address_2": "SUITE 200",
            "city": "BUELLTON",
            "state": "CA",
            "postal_code": "93427",
            "telephone_number": "805-739-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 S Stratford Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545908",
            "country_code": "US",
            "telephone_number": "805-332-8446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKLEY",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "813449",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "813449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETICIAN LICENSE",
            "identifier": "813449",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Barker, CMT
• Monique Bloedau, LMFT
• Coy Briscoe
• Buellterra Inc
• Buellton Medical Center
• Cac Oak Valley Center
• Joseph C Carter, PA-C
• Rodrigo Ybarra Castillo
• Britt Vivian Christensen, PHARM D
• Cottage Clinical Network, LLC (Cottage Urgent Care)

• Registered Dietitian in Buellton, CA
• Providers in Buellton, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.