Active NPI
Katherine Rogomentich, RD
- Registered Dietitian
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86329564
- Practice address
- 2282 S 1800 E Apt a
Salt Lake City, UT 84106-4163 - Phone
- (978) 604-8773
- NPI assigned
- Oct 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 86329564 | Primary |
Addresses
Primary practice location
2282 S 1800 E Apt a
Salt Lake City, UT 84106-4163
Mailing address
2282 S 1800 E Apt a
Salt Lake City, UT 84106-4163
Phone (978) 604-8773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3155 Channing Way
Idaho Falls, ID 83404-7534
Phone (801) 699-6344
3820 Crestwood LN
Idaho Falls, ID 83404-4979
Phone 2085527700837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Family Practice Inc | Current | Accepting new patients | |
| Associates in Family Practice Inc | Current | Accepting new patients | |
| Precision Medical Care LLC | Dietitian, Registered | Current | Accepting new patients |
| Family First Medical Center, PLLC | Current | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
425 Idaho St
Gooding, ID 83330
Phone (208) 934-5900
640 Frogs Lndg
Hagerman, ID 83332
Phone (208) 731-6241
3155 Channing Way
Idaho Falls, ID 83404
Phone (801) 699-6344
3820 Crestwood Ln
Idaho Falls, ID 83404
Phone (208) 552-7700
3155 Channing Way
Ste A
Idaho Falls, ID 83404
Phone (208) 227-0551
2965 E Tarpon Dr
Ste 110
Meridian, ID 83642
Phone (208) 617-6455
1633 W Innovation Way
Fl 5
Lehi, UT 84043
Phone (801) 699-6344
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1033314273
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1780266288
Dietitian, Registered
-
- Family Medicine Physician
- Gooding, ID
- NPI 1326002650
-
- Family Medicine Physician
- Gooding, ID
- NPI 1881659357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1922870823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2282 S 1800 E APT A",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841064163",
"telephone_number": "978-604-8773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2282 S 1800 E APT A",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841064163",
"telephone_number": "978-604-8773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGOMENTICH",
"first_name": "KATHERINE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86329564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.