Kathryn Greer, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.007680 Issued in IL

Practice address

750 42ND Avenue Dr
Moline, IL 61265-6893

Phone

(309) 757-1085

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Wausau, WI
  • NPI 1396619839
  NPD (past)

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1922654888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 42ND AVENUE DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 42ND AVENUE DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656893",
            "telephone_number": "309-757-1085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 5th St",
            "address_purpose": "LOCATION",
            "city": "Silvis",
            "state": "IL",
            "postal_code": "612822903",
            "country_code": "US",
            "telephone_number": "309-792-1507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREER",
        "first_name": "KATHRYN",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.007680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great River Pain Center LLC
• Cynthia M Green, LCPC
• Miriam L Greene
• Ryan L Greene
• Justina Greer, CD(DONA), CLC, SBD
• Gretchen L. Cromer, MD PC
• Gale Rene' Griffith, PT
• Krista Grizzle
• Penny Toshie Grunder, RPSGT
• Gloria Maria Guillen, PMHNP-BC

• Registered Dietitian in Moline, IL
• Providers in Moline, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.