Active NPI
Kathleen Ann Werther, RD
- Registered Dietitian
- Stony Brook, NY
National Provider Identifier
1922323336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000658-1
- Practice address
- Department of Clinical Nutrition RM 747a Level 1
Stony Brook University Medical Center
Stony Brook, NY 11794-7008 - Phone
- (631) 444-1442
- Fax
- (631) 632-2690
- NPI assigned
- Mar 30, 2010
- 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 | 000658-1 | NY | Primary |
Addresses
Primary practice location
Department of Clinical Nutrition RM 747a Level 1
Stony Brook University Medical Center
Stony Brook, NY 11794-7008
Mailing address
PO Box 182
Stony Brook, NY 11790-0182
Phone (516) 317-2264
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 |
|---|---|---|---|
| 000658-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1922323336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 182",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900182",
"telephone_number": "516-317-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF CLINICAL NUTRITION RM 747A LEVEL 1",
"address_2": "STONY BROOK UNIVERSITY MEDICAL CENTER",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117947008",
"telephone_number": "631-444-1442",
"fax_number": "631-632-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERTHER",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-30",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "000658-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.