Kate Fireovid Willson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L005253 Issued in NC

Practice address

4201 Cady Dr
Greenville, NC 27834-8830

Phone

(617) 721-8255

NPI assigned

Sep 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kate Marie Fireovid Former name

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1932396892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CADY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348830",
            "telephone_number": "617-721-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CADY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348830",
            "telephone_number": "617-721-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "KATE",
        "middle_name": "FIREOVID",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "FIREOVID",
            "middle_name": "MARIE",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelby Drittler Willis, PA-C
• Stephen E Willis, MD
• Jackie Willoughby
• Heather Leigh Wills, COTA/L
• Charles F Willson, MD
• Laurel Wilsen, MS, CCC-SLP
• Allena Claire Wilson, MD
• Carol Lashae' Wilson, ANP
• Courtney Elizabeth Wilson, PA
• Gregory Charles Wilson, PA-C

• Registered Dietitian in Greenville, NC
• Providers in Greenville, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.