Individual provider Active NPI

Katherine Rogomentich, RD

  • Registered Dietitian
  • Salt Lake City, UT
National Provider Identifier
1922870823
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20231220001710 ID Practitioner - Registered Dietitian Or Nutrition Professional 7719337559 Reassigns benefits to 3 organizations

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
Precision Medical Care LLCGroup PAC ID 2264831031, 6 clinicians
Family First Medical Center PLLCGroup PAC ID 1052480076, 18 clinicians

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

OrganizationSpecialtyStatusNew patients
Associates in Family Practice Inc CurrentSince Jan 3, 2025 Accepting new patients
Associates in Family Practice Inc CurrentSince Jan 3, 2025 Accepting new patients
Precision Medical Care LLC Dietitian, Registered CurrentSince Nov 24, 2023 Accepting new patients
Family First Medical Center, PLLC CurrentSince Nov 24, 2023 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.

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.

Verify at the official NPI Registry.